Based on public Medicaid payment data.
Stephanie D Moniz
Medicaid Provider in San Francisco, CA
Type
Individual Provider
Address
2155 Webster St
San Francisco, CA 941152333
Phone
4159296400
NPI
1619265410
Procedures
5
Total Claims
3K
Patients Served
2K
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 | $48.34 | 1,124 | 1,122 |
| Office Visit | $104.73 | 781 | 215 |
| Tooth Extraction | $57.40 | 663 | 216 |
| Emergency Room Visit | $79.24 | 374 | 358 |
| Dental Filling | $75.02 | 84 | 51 |
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