Based on public Medicaid payment data.
Jeffrey Dharmawan
Medicaid Provider in Colton, CA
Type
Individual Provider
Address
190 W H St Ste 100
Colton, CA 923242937
Phone
9098251155
NPI
1427107382
Procedures
3
Total Claims
4.4K
Patients Served
4.2K
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 | $56.13 | 4,058 | 4,039 |
| Dental Filling | $55.81 | 255 | 146 |
| Tooth Extraction | $112.00 | 68 | 24 |
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