Based on public Medicaid payment data.
Ricardo Jara Castro
Medicaid Provider in Brea, CA
Type
Individual Provider
Address
745 N Brea Blvd
Brea, CA 928213334
Phone
7149900126
NPI
1619492469
Procedures
2
Total Claims
231
Patients Served
214
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 | $67.48 | 189 | 189 |
| Dental Filling | $65.60 | 42 | 25 |
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