Based on public Medicaid payment data.
Donald Lee Pearson
Medicaid Provider in California City, CA
Type
Individual Provider
Address
22844 Virgina Blvd
California City, CA 93505
Phone
6618211839
NPI
1396998498
Procedures
3
Total Claims
4.9K
Patients Served
2.9K
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 Filling | $57.17 | 3,056 | 1,147 |
| Dental Cleaning & Exam | $61.04 | 1,704 | 1,689 |
| Tooth Extraction | $56.20 | 96 | 47 |
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