Based on public Medicaid payment data.
Guadalupe Lustre Pereira
Medicaid Provider in Carson, CA
Type
Individual Provider
Address
155 E Lomita Blvd
Carson, CA 90745
Phone
3108477777
NPI
1235310442
Procedures
2
Total Claims
2.4K
Patients Served
2.4K
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 | $62.04 | 2,410 | 2,380 |
| Dental Filling | $63.84 | 20 | 12 |
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