Based on public Medicaid payment data.
Bassam W Fargo
Medicaid Provider in Fontana, CA
Type
Individual Provider
Address
8275 Sierra Ave Ste 102
Fontana, CA 923353557
Phone
9513297904
NPI
1649794009
Procedures
2
Total Claims
776
Patients Served
741
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 | $64.24 | 738 | 726 |
| Tooth Extraction | $115.87 | 38 | 15 |
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