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Based on public Medicaid payment data.

Victor Costanza

Medicaid Provider in Santa Rosa, CA

Type

Individual Provider

Address

751 Lombardi Ct

Santa Rosa, CA 954073204

Phone

7075472221

NPI

1932260601

Procedures

3

Total Claims

32.9K

Patients Served

30.8K

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 $50.26 25,334 25,185
Dental Filling $65.57 7,440 5,507
Tooth Extraction $55.65 164 129

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