Based on public Medicaid payment data.
Christopher Rodriguez
Medicaid Provider in San Jose, CA
Type
Individual Provider
Address
634 N 13Th St
San Jose, CA 951123012
Phone
4082885499
NPI
1376193235
Procedures
3
Total Claims
3.5K
Patients Served
3.2K
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 | $50.98 | 2,676 | 2,663 |
| Dental Filling | $65.72 | 468 | 353 |
| Tooth Extraction | $57.22 | 318 | 199 |
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