Based on public Medicaid payment data.
Marcy Kazeminy
Medicaid Provider in San Jose, CA
Type
Individual Provider
Address
1676 Story Rd
San Jose, CA 951222102
Phone
9492353010
NPI
1316193154
Procedures
4
Total Claims
26K
Patients Served
21.6K
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 | $55.95 | 16,303 | 16,252 |
| Dental Filling | $57.34 | 9,108 | 4,884 |
| Root Canal | $85.09 | 398 | 342 |
| Tooth Extraction | $54.92 | 156 | 91 |
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