Based on public Medicaid payment data.
Daniel Quan Minh Ta
Medicaid Provider in San Leandro, CA
Type
Individual Provider
Address
1598 Washington Ave
San Leandro, CA 94577
Phone
5105454588
NPI
1770137549
Procedures
4
Total Claims
2.5K
Patients Served
2.1K
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 | $69.60 | 1,515 | 1,515 |
| Dental Filling | $65.94 | 645 | 320 |
| Tooth Extraction | $118.34 | 358 | 224 |
| Dental Crown | $476.00 | 13 | 12 |
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