Based on public Medicaid payment data.
Humberto Ruiz
Medicaid Provider in Baldwin Park, CA
Type
Individual Provider
Address
4157 Maine Ave
Baldwin Park, CA 917063309
Phone
6263371506
NPI
1023147865
Procedures
3
Total Claims
472
Patients Served
452
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 | $25.62 | 428 | 426 |
| Dental Filling | $65.74 | 23 | 12 |
| Tooth Extraction | $47.83 | 21 | 14 |
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