Based on public Medicaid payment data.
Jose Luis Villa
Medicaid Provider in San Jacinto, CA
Type
Individual Provider
Address
2191 W Esplanade Ave Ste 106G
San Jacinto, CA 925823725
Phone
9516540080
NPI
1063973949
Procedures
4
Total Claims
849
Patients Served
755
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 | $68.17 | 606 | 606 |
| Dental Filling | $70.43 | 190 | 103 |
| Dental Crown | $476.00 | 38 | 33 |
| Root Canal | $365.40 | 15 | 13 |
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