Based on public Medicaid payment data.
Shirley Wong
Medicaid Provider in Azusa, CA
Type
Individual Provider
Address
613 N. Azusa Ave
Azusa, CA 91702
Phone
6263540082
NPI
1497937940
Procedures
1
Total Claims
60
Patients Served
59
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 |
|---|---|---|---|
| Root Canal | $463.40 | 60 | 59 |
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