Based on public Medicaid payment data.
Jorge E Vital
Medicaid Provider in Santa Ana, CA
Type
Individual Provider
Address
102 E. 4Th St
Santa Ana, CA 92701
Phone
7145581464
NPI
1619060118
Procedures
5
Total Claims
7.8K
Patients Served
6.9K
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 | $55.85 | 5,468 | 5,459 |
| Tooth Extraction | $56.14 | 1,419 | 875 |
| Dental Filling | $58.83 | 481 | 275 |
| Dental Crown | $475.29 | 333 | 206 |
| Root Canal | $63.00 | 51 | 49 |
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