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Based on public Medicaid payment data.

Phong Thanh Tran

Medicaid Provider in San Jose, CA

Type

Individual Provider

Address

1450 S White Rd Ste 20

San Jose, CA 951274798

Phone

4089260110

NPI

1720243140

Procedures

1

Total Claims

159

Patients Served

159

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 $38.58 159 159

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