Based on public Medicaid payment data.
Ky Nguyen
Medicaid Provider in San Jose, CA
Type
Individual Provider
Address
4055 Evergreen Village Sq Ste 240
San Jose, CA 951351750
Phone
4082239228
NPI
1376066761
Procedures
3
Total Claims
3.5K
Patients Served
3.3K
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 | $46.20 | 2,933 | 2,930 |
| Dental Filling | $64.30 | 390 | 240 |
| Tooth Extraction | $118.38 | 193 | 105 |
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