Based on public Medicaid payment data.
Edegar Vergara
Medicaid Provider in San Jose, CA
Type
Individual Provider
Address
2340 Mckee Rd Ste 3
San Jose, CA 951161615
Phone
6692849988
NPI
1326463126
Procedures
4
Total Claims
6.9K
Patients Served
6.3K
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 | $71.63 | 5,474 | 5,460 |
| Dental Filling | $58.13 | 1,228 | 681 |
| Dental Crown | $508.93 | 135 | 114 |
| Tooth Extraction | $109.30 | 71 | 36 |
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