Based on public Medicaid payment data.
Mai Kim Le
Medicaid Provider in San Jose, CA
Type
Individual Provider
Address
1832 Tully Rd
San Jose, CA 951221881
Phone
4082388898
NPI
1073631222
Procedures
2
Total Claims
2.9K
Patients Served
2.8K
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 | $56.25 | 2,810 | 2,792 |
| Tooth Extraction | $57.40 | 59 | 25 |
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