Based on public Medicaid payment data.
Adrienne Ngoclan Van
Medicaid Provider in San Jose, CA
Type
Individual Provider
Address
2114 Senter Rd
San Jose, CA 951122608
Phone
4082988187
NPI
1538206149
Procedures
1
Total Claims
40
Patients Served
40
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 | $32.88 | 40 | 40 |
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