Based on public Medicaid payment data.
Otto Raul Alonzo Dominguez
Medicaid Provider in Clovis, CA
Type
Individual Provider
Address
145 Shaw Ave
Clovis, CA 936123841
Phone
5593252175
NPI
1164636270
Procedures
3
Total Claims
17.8K
Patients Served
15.5K
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 | $55.46 | 12,825 | 12,745 |
| Dental Filling | $63.37 | 3,872 | 2,212 |
| Tooth Extraction | $58.52 | 1,061 | 591 |
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