Based on public Medicaid payment data.
Ricuccio A. Negom
Medicaid Provider in San Luis Obispo, CA
Type
Individual Provider
Address
735 Tank Farm Rd Ste 170
San Luis Obispo, CA 934017071
Phone
8055499000
NPI
1124208152
Procedures
1
Total Claims
56
Patients Served
56
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 | $46.16 | 56 | 56 |
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