Based on public Medicaid payment data.
Arturo Carhuamaca Latorre
Medicaid Provider in San Jose, CA
Type
Individual Provider
Address
22 N White Rd Ste 40
San Jose, CA 951271949
Phone
4082544402
NPI
1790959476
Procedures
1
Total Claims
79
Patients Served
26
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 |
|---|---|---|---|
| Tooth Extraction | $119.00 | 79 | 26 |
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