Based on public Medicaid payment data.
Judy Lopez Mojica
Medicaid Provider in Stockton, CA
Type
Individual Provider
Address
1610 N El Dorado St
Stockton, CA 952045930
Phone
2094628361
NPI
1588835334
Procedures
3
Total Claims
2.6K
Patients Served
2.5K
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 | $42.46 | 2,171 | 2,169 |
| Dental Filling | $63.25 | 371 | 299 |
| Tooth Extraction | $57.40 | 57 | 45 |
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