Based on public Medicaid payment data.
Loan Mai Nguyen
Medicaid Provider in San Jose, CA
Type
Individual Provider
Address
1816 Tully Rd
San Jose, CA 951224405
Phone
4082703333
NPI
1629297403
Procedures
3
Total Claims
14.1K
Patients Served
12.7K
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 | $55.83 | 9,904 | 9,862 |
| Dental Filling | $63.53 | 3,209 | 2,211 |
| Tooth Extraction | $57.11 | 942 | 609 |
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