Based on public Medicaid payment data.
Sergio Moncada
Medicaid Provider in Santa Ana, CA
Type
Individual Provider
Address
2227 W 1St St
Santa Ana, CA 927033505
Phone
7145472814
NPI
1922093145
Procedures
3
Total Claims
10.7K
Patients Served
8.8K
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 | $51.54 | 6,806 | 6,792 |
| Dental Filling | $59.31 | 3,591 | 1,868 |
| Tooth Extraction | $56.54 | 266 | 170 |
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