Based on public Medicaid payment data.
Luis Gustavo Acosta
Medicaid Provider in Santa Clarita, CA
Type
Individual Provider
Address
27661 Bouquet Canyon Rd
Santa Clarita, CA 913501793
Phone
6613470031
NPI
1952820607
Procedures
3
Total Claims
2.1K
Patients Served
1.9K
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 | $25.98 | 1,417 | 1,408 |
| Dental Filling | $44.64 | 503 | 396 |
| Tooth Extraction | $35.48 | 130 | 95 |
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