Based on public Medicaid payment data.
Mavern Suprono
Medicaid Provider in Colton, CA
Type
Individual Provider
Address
1080 E Washington
Colton, CA 92324
Phone
9097839099
NPI
1023239944
Procedures
1
Total Claims
210
Patients Served
204
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 | $31.28 | 210 | 204 |
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