Based on public Medicaid payment data.
Tommy Le
Medicaid Provider in Santa Ana, CA
Type
Individual Provider
Address
1712 S Greenville St
Santa Ana, CA 927044004
Phone
7145713682
NPI
1639327836
Procedures
3
Total Claims
18.1K
Patients Served
14.9K
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 | $52.64 | 12,210 | 12,134 |
| Dental Filling | $58.57 | 5,627 | 2,658 |
| Tooth Extraction | $56.70 | 247 | 146 |
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