Based on public Medicaid payment data.
Mia Larissa Ancheta
Medicaid Provider in El Monte, CA
Type
Individual Provider
Address
3560 Lexington Ave
El Monte, CA 917312608
Phone
6264489867
NPI
1740407451
Procedures
3
Total Claims
11K
Patients Served
10.6K
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 | $53.76 | 10,007 | 9,973 |
| Dental Filling | $63.73 | 984 | 565 |
| Dental Crown | $476.00 | 33 | 30 |
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