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Based on public Medicaid payment data.

Jessica Bong

Medicaid Provider in Canyon Country, CA

Type

Individual Provider

Address

19366 Soledad Canyon Rd

Canyon Country, CA 913512629

Phone

6612528888

NPI

1578872313

Procedures

2

Total Claims

1.4K

Patients Served

1.2K

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 $33.97 1,071 1,069
Dental Filling $64.19 312 175

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