Based on public Medicaid payment data.
Fernand Lacayanga
Medicaid Provider in San Jose, CA
Type
Individual Provider
Address
5130 Stevens Creek Blvd
San Jose, CA 951291019
Phone
7024134071
NPI
1780800151
Procedures
1
Total Claims
102
Patients Served
102
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 | $65.68 | 102 | 102 |
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