Based on public Medicaid payment data.
Marcela Zamora Paulino Dacosta
Medicaid Provider in Chino Hills, CA
Type
Individual Provider
Address
3410 Grand Ave
Chino Hills, CA 917091473
Phone
9093640027
NPI
1891247631
Procedures
3
Total Claims
14.8K
Patients Served
12.9K
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 Cleaning & Exam | $1.77 | 11,048 | 10,305 |
| Dental Filling | $2.87 | 2,910 | 2,001 |
| Tooth Extraction | $0.01 | 850 | 558 |
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