Based on public Medicaid payment data.
Rocky Charles Baysa
Medicaid Provider in Suisun City, CA
Type
Individual Provider
Address
141 Sunset Ave
Suisun City, CA 945856347
Phone
7074218190
NPI
1306966148
Procedures
3
Total Claims
1.3K
Patients Served
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 | $65.50 | 583 | 581 |
| Dental Filling | $61.67 | 561 | 368 |
| Tooth Extraction | $118.32 | 174 | 91 |
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