Average Medicaid Dental Filling Payments in Pomona, CA: $62.54
Avg. Paid
$62.54
Range
$0.00 – $67.59
Total Claims
90,371
Providers
33
Typical Payment Range
Typical Medicaid Dental Filling payments fall between $57.10 and $90.31 per claim (median: $67.90). The top 10% of payments exceed $111.86.
Based on per-provider averages across all Medicaid claims in this category.
Dental fillings repair teeth damaged by cavities or fractures. Materials include composite resin, amalgam, and other restorative materials.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Dental Filling in Pomona, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ki Hun Sung
819 E Mission Blvd |
$63.68 | 18,696 | 9,771 |
|
David A Choi
920 N Garey Ave |
$60.93 | 10,192 | 4,885 |
|
Sheila Therese Aquino Amisola
1021 E Holt Ave |
$63.47 | 7,379 | 3,286 |
|
Estelle Hwei-Wan Liou
1524 N Orange Grove Ave |
$64.54 | 6,898 | 3,876 |
|
Hesham Mahmoud Hassan
408 W Grove St |
$63.61 | 6,795 | 3,100 |
|
John Jongcheol Park
819 E Mission Blvd |
$65.20 | 6,569 | 2,730 |
|
James Bell
1555 S Garey Ave |
$58.91 | 4,643 | 2,668 |
|
Evelyn Pham
1151 E Holt Ave |
$62.84 | 3,663 | 2,362 |
|
Steven William Friedrichsen
795 E Second Street |
$61.53 | 3,309 | 2,558 |
|
Manar Jamal
2005 W Holt Ave |
$61.38 | 3,250 | 2,035 |
|
Kim-Phung Thi Ha
756 E Holt Ave |
$61.70 | 3,193 | 1,828 |
|
Laura De Lopez
1320 N Garey Ave |
$60.91 | 2,694 | 1,131 |
|
Mai Thi Nguyen-Tu
1922 S Garey Ave |
$59.58 | 2,327 | 1,428 |
|
Jing Chen
430 W Holt Ave Ste E |
$67.59 | 2,064 | 1,039 |
|
Abrahim Abdul Mustafa
2280 S Garey Ave |
$58.00 | 1,999 | 1,624 |
|
Nhu Quynh Chau
1182 E Holt Ave |
$64.58 | 1,186 | 874 |
|
Van Kim Nguyen
1182 E Holt Ave |
$63.85 | 997 | 533 |
|
Yvonne Shu Rodriguez
1640 Indian Hill Blvd |
$56.34 | 948 | 366 |
|
Hernando Suarez Ayora
2280 S Garey Ave |
$52.68 | 799 | 625 |
|
Elizabeth A Andrews
795 East Second Street |
$61.36 | 529 | 410 |
|
Jeffrey Lee
2112 S Garey Ave Ste A |
$66.76 | 460 | 260 |
|
Steve Siwoo Lee
850 Indian Hill Blvd |
$67.12 | 432 | 161 |
|
Noor Kassem
2071 Rancho Valley Dr Ste 140 |
$65.86 | 237 | 95 |
|
Wael Sameer Victor
763 Rio Rancho Rd Ste 120 |
$61.00 | 202 | 113 |
|
Andre Widodo
2112 S Garey Ave Ste A |
$65.29 | 187 | 114 |
|
Rita Lui
175 W La Verne Ave |
$45.35 | 164 | 85 |
|
Homa Badihan
3292 N Garey Ave |
$48.11 | 143 | 44 |
|
Sandy Charito Gramajo Cifuentes
510 E 3Rd St Apt 411 |
$64.63 | 103 | 60 |
|
Pravinchandra K Makadia
826 E Mission Blvd |
$67.20 | 75 | 27 |
|
Hyun-Joo Kang
1887 Wright St |
$0.00 | 72 | 50 |
|
Moller Awad
309 E 2Nd St |
$63.44 | 57 | 37 |
|
Ublester Gomez
12 Rancho Camino Dr |
$57.98 | 56 | 37 |
|
Dilshad Abtin
180 E Mission Blvd |
$66.29 | 53 | 28 |
What to Expect: Dental Filling
A dental filling typically takes 30-60 minutes. The dentist numbs the area with local anesthetic, removes decayed tooth material, cleans the cavity, and fills it with restorative material. You may experience sensitivity for a few days. Composite (tooth-colored) fillings bond directly to the tooth. Recovery is immediate for most people.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| D2392 | Resin filling 2 surfaces post | $79.19 | 36,235,346 | 37,011 |
| D2391 | Resin filling 1 surface post | $60.87 | 22,805,479 | 31,523 |
| D2150 | Amalgam filling 2 surfaces | $66.91 | 6,314,197 | 7,829 |
| D2393 | Resin filling 3 surfaces post | $95.07 | 5,604,415 | 15,246 |
| D2140 | Amalgam filling 1 surface | $52.85 | 3,698,163 | 5,674 |
| D2330 | Resin filling 1 surface ant | $66.63 | 1,718,316 | 5,573 |
| D2160 | Amalgam filling 3 surfaces | $78.73 | 999,715 | 2,954 |
| D2332 | Resin filling 3 surfaces ant | $89.52 | 990,694 | 3,709 |
| D2335 | Resin filling 4+ surfaces ant | $111.27 | 829,146 | 2,713 |
| D2331 | Resin filling 2 surfaces ant | $71.74 | 790,043 | 3,477 |
| D2394 | Resin filling 4+ surfaces post | $110.66 | 643,479 | 2,216 |
| D2390 | Resin crown anterior | $179.40 | 154,818 | 327 |
| D2161 | Amalgam filling 4+ surfaces | $86.55 | 92,615 | 354 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Dental Filling cost in Pomona, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dental Filling in Pomona, CA is $62.54 per claim, based on 90,371 claims from 33 providers. Typical payments fall between $57.10 and $90.31. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Dental Filling in Pomona, CA?
There are 33 Medicaid providers offering Dental Filling related services in Pomona, CA according to public payment data.
What is the price range for Dental Filling in Pomona, CA?
Medicaid reimbursement for Dental Filling in Pomona, CA ranges from $0.00 to $67.59 per claim, with an average of $62.54. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Dental Filling in Other Cities
Los Angeles, CA
Avg $63.22
1,098,910 claims · 486 providers
Houston, TX
Avg $85.20
986,714 claims · 552 providers
Brooklyn, NY
Avg $65.83
948,852 claims · 505 providers
Dallas, TX
Avg $87.64
876,814 claims · 299 providers
Chicago, IL
Avg $62.04
741,311 claims · 503 providers
Columbus, OH
Avg $68.04
591,016 claims · 150 providers
Bronx, NY
Avg $70.83
586,535 claims · 299 providers
Phoenix, AZ
Avg $30.80
549,419 claims · 175 providers
Other Procedures in Pomona, CA
Blood Work & Lab Tests
Avg $3.21
4,565,012 claims
Office Visit
Avg $29.82
1,091,740 claims
Urinalysis & Urine Tests
Avg $1.47
848,645 claims
Physical Therapy
Avg $34.06
464,973 claims
Substance Abuse Treatment
Avg $64.29
429,941 claims
Dental Cleaning & Exam
Avg $49.69
313,121 claims
Emergency Room Visit
Avg $72.32
308,969 claims
X-Ray
Avg $10.26
271,954 claims