Based on public Medicaid payment data.
Andriani Ongkorahardjo
Medicaid Provider in Diamond Bar, CA
Type
Individual Provider
Address
660 N Diamond Bar Blvd Ste 288
Diamond Bar, CA 917651070
Phone
9093960107
NPI
1902941669
Procedures
4
Total Claims
15K
Patients Served
13.6K
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 | $48.51 | 12,071 | 12,013 |
| Dental Filling | $66.88 | 2,825 | 1,579 |
| Tooth Extraction | $57.40 | 47 | 24 |
| Root Canal | $99.40 | 19 | 13 |
Patient Experiences
No patient experiences shared yet. Be the first to share yours.
Share Your Experience
Share your experience with this provider. Focus on the process, billing, wait time, or outcome. Do not share exact prices.
See something wrong on this page?
Report an error