Based on public Medicaid payment data.
Luis Lauro Reta De La Garza
Medicaid Provider in Santa Maria, CA
Type
Individual Provider
Address
620 W Main St
Santa Maria, CA 934585035
Phone
8059266154
NPI
1649969403
Procedures
2
Total Claims
554
Patients Served
348
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 | $65.01 | 406 | 200 |
| Dental Cleaning & Exam | $69.71 | 148 | 148 |
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