Based on public Medicaid payment data.
Vincent S Mojica
Medicaid Provider in Stockton, CA
Type
Individual Provider
Address
222 E Acacia St
Stockton, CA 952021403
Phone
2094660191
NPI
1427253384
Procedures
4
Total Claims
13.5K
Patients Served
11.8K
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 | $49.58 | 8,762 | 8,739 |
| Dental Filling | $63.51 | 4,453 | 2,806 |
| Dental Crown | $451.51 | 232 | 175 |
| Tooth Extraction | $54.27 | 55 | 40 |
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