Based on public Medicaid payment data.
Chau My Phan
Medicaid Provider in San Jose, CA
Type
Individual Provider
Address
2820 Alum Rock Ave
San Jose, CA 95127
Phone
4089375058
NPI
1154330017
Procedures
5
Total Claims
21K
Patients Served
18.2K
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 | $21.50 | 12,244 | 12,121 |
| Dental Filling | $16.30 | 7,366 | 5,272 |
| Tooth Extraction | $18.14 | 1,264 | 722 |
| Root Canal | $132.40 | 51 | 50 |
| Dental Crown | $125.54 | 26 | 18 |
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