Based on public Medicaid payment data.
Noe Mora
Medicaid Provider in Stockton, CA
Type
Individual Provider
Address
3133 W March Ln Ste 1080
Stockton, CA 952192360
Phone
2099514304
NPI
1285693168
Procedures
2
Total Claims
357
Patients Served
214
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 | $100.13 | 193 | 186 |
| Tooth Extraction | $240.00 | 164 | 28 |
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