Based on public Medicaid payment data.
Sarah Laura Pou
Medicaid Provider in Santa Ana, CA
Type
Individual Provider
Address
1217 E. Seventeenth St
Santa Ana, CA 92701
Phone
7145507172
NPI
1720354731
Procedures
4
Total Claims
4K
Patients Served
2.9K
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 | $58.40 | 2,210 | 2,204 |
| Dental Filling | $59.21 | 1,678 | 625 |
| Root Canal | $94.36 | 50 | 33 |
| Dental Crown | $476.00 | 26 | 15 |
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