Based on public Medicaid payment data.
Daniel Alejandro Gutierrez
Medicaid Provider in Santa Maria, CA
Type
Individual Provider
Address
620 W Main St
Santa Maria, CA 934585035
Phone
8059227725
NPI
1396592002
Procedures
3
Total Claims
486
Patients Served
330
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 Filling | $66.93 | 345 | 190 |
| Dental Cleaning & Exam | $68.86 | 128 | 128 |
| Root Canal | $463.40 | 13 | 12 |
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