Based on public Medicaid payment data.
Leoncio Nikolay Fierro
Medicaid Provider in San Jose, CA
Type
Individual Provider
Address
3535 Ross Ave Ste 305
San Jose, CA 951243039
Phone
4083170162
NPI
1447636527
Procedures
3
Total Claims
1.7K
Patients Served
1.4K
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 | $64.33 | 1,097 | 1,095 |
| Dental Filling | $63.82 | 592 | 309 |
| Tooth Extraction | $57.40 | 23 | 13 |
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