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Based on public Medicaid payment data.

Jessica V Fuentes-Colasse

Medicaid Provider in Santa Rosa, CA

Type

Individual Provider

Address

1144 Sonoma Ave Ste 108

Santa Rosa, CA 954054812

Phone

7075232399

NPI

1992072060

Procedures

2

Total Claims

2.8K

Patients Served

2.8K

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 $55.67 2,777 2,768
Root Canal $430.56 70 69

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