Based on public Medicaid payment data.
Ruben Sandu
Medicaid Provider in San Juan Capistrano, CA
Type
Individual Provider
Address
32112 Camino Capistrano
San Juan Capistrano, CA 926753717
Phone
9494873273
NPI
1619255692
Procedures
3
Total Claims
25.1K
Patients Served
23K
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 | $55.49 | 19,864 | 19,813 |
| Dental Filling | $59.49 | 4,851 | 2,911 |
| Tooth Extraction | $55.19 | 413 | 261 |
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