Based on public Medicaid payment data.
Yi Xu
Medicaid Provider in San Jose, CA
Type
Individual Provider
Address
4155 Moorpark Ave Ste 2
San Jose, CA 951171714
Phone
4082962188
NPI
1184736993
Procedures
3
Total Claims
2.2K
Patients Served
1.9K
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 | $75.70 | 1,740 | 1,735 |
| Dental Filling | $54.35 | 215 | 93 |
| Tooth Extraction | $57.13 | 211 | 120 |
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