Based on public Medicaid payment data.
Irina V Ganzha
Medicaid Provider in San Jose, CA
Type
Individual Provider
Address
1902 N Capitol Ave
San Jose, CA 951321016
Phone
4087198600
NPI
1043427016
Procedures
4
Total Claims
8.6K
Patients Served
8.4K
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 | $64.01 | 8,031 | 7,997 |
| Tooth Extraction | $118.37 | 331 | 217 |
| Dental Filling | $78.04 | 214 | 155 |
| Root Canal | $463.40 | 12 | 12 |
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