Based on public Medicaid payment data.
Tiphanie Tran
Medicaid Provider in San Jose, CA
Type
Individual Provider
Address
2664 Berryessa Road
San Jose, CA 95132
Phone
4082516217
NPI
1477982346
Procedures
5
Total Claims
7.8K
Patients Served
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 | $58.14 | 5,617 | 5,605 |
| Dental Filling | $67.79 | 1,449 | 801 |
| Dental Crown | $472.39 | 527 | 421 |
| Root Canal | $448.18 | 103 | 99 |
| Tooth Extraction | $101.40 | 77 | 49 |
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