Based on public Medicaid payment data.
Yadira L Gamez
Medicaid Provider in San Ysidro, CA
Type
Individual Provider
Address
2004 Dairy Mart Rd
San Ysidro, CA 92173
Phone
6194282436
NPI
1346251535
Procedures
4
Total Claims
10.8K
Patients Served
8.7K
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 | $67.45 | 5,049 | 5,038 |
| Dental Filling | $66.80 | 4,308 | 2,822 |
| Tooth Extraction | $56.46 | 1,131 | 584 |
| Dental Crown | $476.00 | 285 | 210 |
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