Based on public Medicaid payment data.
Maciej W Dolata
Medicaid Provider in San Francisco, CA
Type
Individual Provider
Address
711 Hampshire St
San Francisco, CA 941102129
Phone
7344748969
NPI
1801179346
Procedures
3
Total Claims
6.1K
Patients Served
5.5K
About these costs
All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.
Procedures & Average Costs
| Procedure | Avg. Paid | Claims | Patients |
|---|---|---|---|
| Dental Cleaning & Exam | $51.61 | 4,784 | 4,555 |
| Dental Filling | $65.28 | 1,044 | 829 |
| Tooth Extraction | $137.76 | 279 | 161 |
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