Based on public Medicaid payment data.
Mariely Marquez Molina
Medicaid Provider in Chino, CA
Type
Individual Provider
Address
12716 Central Ave
Chino, CA 917103510
Phone
9096285133
NPI
1194008417
Procedures
4
Total Claims
8.4K
Patients Served
7K
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 | $62.82 | 4,402 | 4,394 |
| Dental Filling | $62.50 | 3,642 | 2,331 |
| Tooth Extraction | $55.85 | 328 | 229 |
| Dental Crown | $476.00 | 41 | 36 |
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