Based on public Medicaid payment data.
Modesto Luis
Medicaid Provider in South Gate, CA
Type
Individual Provider
Address
4444 Tweedy Blvd
South Gate, CA 902806304
Phone
3235642444
NPI
1720134091
Procedures
4
Total Claims
28K
Patients Served
23.1K
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 | $42.91 | 18,616 | 18,499 |
| Dental Filling | $65.54 | 5,808 | 2,943 |
| Tooth Extraction | $56.81 | 2,344 | 1,117 |
| Root Canal | $98.83 | 1,226 | 506 |
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