Based on public Medicaid payment data.
Deepika Jain
Medicaid Provider in San Jose, CA
Type
Individual Provider
Address
2454 Story Rd
San Jose, CA 951221058
Phone
4082720888
NPI
1457578890
Procedures
4
Total Claims
22K
Patients Served
18.7K
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 | $54.39 | 14,109 | 14,087 |
| Dental Filling | $63.43 | 7,087 | 4,104 |
| Tooth Extraction | $105.32 | 639 | 345 |
| Dental Crown | $475.43 | 207 | 162 |
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