Based on public Medicaid payment data.
Angelita Yumul Luciano
Medicaid Provider in San Jose, CA
Type
Individual Provider
Address
1695 Alum Rock Avenue
San Jose, CA 95116
Phone
4082583584
NPI
1720106511
Procedures
2
Total Claims
5.5K
Patients Served
5.4K
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 | $48.33 | 5,451 | 5,425 |
| Dental Filling | $67.20 | 28 | 17 |
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