Based on public Medicaid payment data.
Andrew Vansicklen
Medicaid Provider in San Luis Obispo, CA
Type
Individual Provider
Address
1042 Pacific St
San Luis Obispo, CA 93401
Phone
8055436963
NPI
1538457775
Procedures
4
Total Claims
48.6K
Patients Served
42.3K
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 | $56.74 | 32,385 | 32,165 |
| Dental Filling | $76.61 | 10,484 | 6,704 |
| Tooth Extraction | $56.90 | 3,366 | 1,922 |
| Root Canal | $98.70 | 2,325 | 1,520 |
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