Based on public Medicaid payment data.
Carlos H Restrepo
Medicaid Provider in San Juan Capistrano, CA
Type
Individual Provider
Address
31920 Del Obispo St
San Juan Capistrano, CA 926753187
Phone
9492762220
NPI
1104978295
Procedures
3
Total Claims
27.9K
Patients Served
26.6K
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 | $49.34 | 24,672 | 24,513 |
| Dental Filling | $57.81 | 3,170 | 2,080 |
| Tooth Extraction | $57.40 | 16 | 13 |
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