Based on public Medicaid payment data.
Dustin Le
Medicaid Provider in Santa Ana, CA
Type
Individual Provider
Address
3739 S Plaza Dr
Santa Ana, CA 927047463
Phone
7146237249
NPI
1396129342
Procedures
5
Total Claims
38.1K
Patients Served
32.4K
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 | $52.87 | 26,729 | 26,612 |
| Dental Filling | $64.34 | 9,894 | 4,941 |
| Tooth Extraction | $55.95 | 1,250 | 692 |
| Dental Crown | $472.83 | 150 | 120 |
| Root Canal | $99.40 | 36 | 14 |
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