Based on public Medicaid payment data.
Mala Gopal
Medicaid Provider in San Jose, CA
Type
Individual Provider
Address
1333 Meridian Ave
San Jose, CA 951255212
Phone
4084453400
NPI
1871992065
Procedures
4
Total Claims
1.8K
Patients Served
966
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 |
|---|---|---|---|
| Tooth Extraction | $56.54 | 601 | 305 |
| Dental Filling | $61.79 | 537 | 323 |
| Root Canal | $99.17 | 435 | 153 |
| Dental Cleaning & Exam | $42.76 | 186 | 185 |
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