Based on public Medicaid payment data.
Jimmy Cham
Medicaid Provider in San Jose, CA
Type
Individual Provider
Address
2139 Tully Rd
San Jose, CA 951221346
Phone
4082595660
NPI
1164429916
Procedures
4
Total Claims
11.3K
Patients Served
10.8K
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 | $67.51 | 9,777 | 9,752 |
| Tooth Extraction | $116.08 | 772 | 495 |
| Dental Filling | $66.17 | 591 | 492 |
| Dental Crown | $475.23 | 124 | 100 |
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