Based on public Medicaid payment data.
Fidel Garcia Calderon
Medicaid Provider in San Jacinto, CA
Type
Individual Provider
Address
195 Northwood Ave
San Jacinto, CA 925823761
Phone
9515647083
NPI
1306609334
Procedures
5
Total Claims
968
Patients Served
596
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 Filling | $54.73 | 495 | 152 |
| Dental Cleaning & Exam | $62.27 | 390 | 389 |
| Tooth Extraction | $104.77 | 35 | 15 |
| Root Canal | $463.40 | 33 | 28 |
| Dental Crown | $476.00 | 15 | 12 |
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