Based on public Medicaid payment data.
Su Hwei Ou
Medicaid Provider in Chino, CA
Type
Individual Provider
Address
5480 Philadelphia St
Chino, CA 917102486
Phone
9094642399
NPI
1871711937
Procedures
1
Total Claims
291
Patients Served
290
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 | $50.66 | 291 | 290 |
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