Based on public Medicaid payment data.
Carolina Rodriguez
Medicaid Provider in San Jose, CA
Type
Individual Provider
Address
3087 Mckee Rd
San Jose, CA 951271835
Phone
4085095399
NPI
1134868904
Procedures
3
Total Claims
5.9K
Patients Served
3.4K
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 Filling | $63.31 | 4,092 | 1,696 |
| Dental Cleaning & Exam | $71.18 | 1,580 | 1,577 |
| Tooth Extraction | $115.71 | 181 | 115 |
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