Based on public Medicaid payment data.
Pragya Chawla
Medicaid Provider in San Jose, CA
Type
Individual Provider
Address
1600 Willow St
San Jose, CA 951255115
Phone
6692315595
NPI
1629556865
Procedures
3
Total Claims
735
Patients Served
567
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 Filling | $58.37 | 463 | 298 |
| Dental Cleaning & Exam | $65.10 | 257 | 257 |
| Tooth Extraction | $119.00 | 15 | 12 |
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