Based on public Medicaid payment data.
Matthew Jon Stark
Medicaid Provider in Santa Rosa, CA
Type
Individual Provider
Address
144 Stony Point Rd
Santa Rosa, CA 954014122
Phone
7075214600
NPI
1154519296
Procedures
3
Total Claims
955
Patients Served
871
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 | $199.54 | 908 | 833 |
| Tooth Extraction | $62.54 | 30 | 25 |
| Dental Filling | $251.39 | 17 | 13 |
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