Based on public Medicaid payment data.
Reena Gupta
Medicaid Provider in San Jose, CA
Type
Individual Provider
Address
373 S Monroe St
San Jose, CA 951285103
Phone
4082474100
NPI
1609800762
Procedures
3
Total Claims
13.1K
Patients Served
10.9K
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 | $65.82 | 8,929 | 8,880 |
| Dental Filling | $60.31 | 4,100 | 1,953 |
| Tooth Extraction | $101.45 | 91 | 74 |
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