Based on public Medicaid payment data.
Lu Tang
Medicaid Provider in San Jose, CA
Type
Individual Provider
Address
2230 Story Rd
San Jose, CA 951221054
Phone
4089286000
NPI
1083788566
Procedures
3
Total Claims
9.5K
Patients Served
9.1K
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 | $47.12 | 8,457 | 8,431 |
| Tooth Extraction | $57.06 | 674 | 387 |
| Dental Filling | $69.64 | 412 | 253 |
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