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Based on public Medicaid payment data.

Francisca Mojica

Medicaid Provider in San Jose, CA

Type

Individual Provider

Address

22 N White Rd Ste 40

San Jose, CA 951271932

Phone

4082544402

NPI

1407075419

Procedures

3

Total Claims

19.9K

Patients Served

18K

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 $54.12 15,269 15,216
Dental Filling $59.70 4,604 2,769
Dental Crown $476.00 52 45

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