Based on public Medicaid payment data.
Sergio Ayala
Medicaid Provider in Vista, CA
Type
Individual Provider
Address
706 Townsite Dr
Vista, CA 920844502
Phone
7607244392
NPI
1780916163
Procedures
5
Total Claims
1.3K
Patients Served
1.1K
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 |
|---|---|---|---|
| Tooth Extraction | $110.19 | 380 | 250 |
| Dental Cleaning & Exam | $38.26 | 357 | 356 |
| Root Canal | $459.31 | 255 | 236 |
| Dental Filling | $63.74 | 255 | 142 |
| Dental Crown | $460.13 | 90 | 75 |
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