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Based on public Medicaid payment data.

Noel Santos Miranda

Medicaid Provider in So San Francisco, CA

Type

Individual Provider

Address

1486 Huntington Avenue

So San Francisco, CA 940805971

Phone

6505838822

NPI

1366655235

Procedures

5

Total Claims

44.2K

Patients Served

33.1K

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 $52.46 23,552 23,493
Dental Filling $65.06 15,798 6,973
Dental Crown $509.87 2,450 1,335
Tooth Extraction $85.68 2,336 1,279
Root Canal $63.21 64 50

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