Based on public Medicaid payment data.
Tatyana V Kvyatkovskaya
Medicaid Provider in San Francisco, CA
Type
Individual Provider
Address
4585 Mission St
San Francisco, CA 941122603
Phone
4155848500
NPI
1184869562
Procedures
4
Total Claims
25K
Patients Served
18K
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 | $61.92 | 11,803 | 11,757 |
| Dental Filling | $73.18 | 9,482 | 4,286 |
| Tooth Extraction | $119.06 | 3,229 | 1,557 |
| Dental Crown | $480.97 | 506 | 390 |
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