Based on public Medicaid payment data.
Dexter Massa
Medicaid Provider in San Jose, CA
Type
Individual Provider
Address
2664 Berryessa Rd
San Jose, CA 951322925
Phone
4082591880
NPI
1831356112
Procedures
3
Total Claims
9.5K
Patients Served
4.6K
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 | $64.37 | 6,790 | 1,971 |
| Dental Cleaning & Exam | $69.71 | 2,643 | 2,557 |
| Tooth Extraction | $114.36 | 77 | 40 |
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