Based on public Medicaid payment data.
Smitha Rao
Medicaid Provider in San Jose, CA
Type
Individual Provider
Address
1201 Park Ave
San Jose, CA 951262919
Phone
4089719990
NPI
1801044680
Procedures
4
Total Claims
51.5K
Patients Served
42.7K
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 | $45.97 | 31,092 | 31,006 |
| Dental Filling | $63.46 | 9,677 | 5,813 |
| Root Canal | $98.18 | 6,759 | 3,382 |
| Tooth Extraction | $56.73 | 4,020 | 2,518 |
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