Based on public Medicaid payment data.
Edward Lee Vera
Medicaid Provider in Fontana, CA
Type
Individual Provider
Address
16946 Marygold Ave Ste 101
Fontana, CA 923351724
Phone
9093550385
NPI
1033468368
Procedures
4
Total Claims
80K
Patients Served
63.4K
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 | $45.82 | 48,837 | 48,633 |
| Dental Filling | $78.53 | 24,777 | 11,590 |
| Tooth Extraction | $53.34 | 4,226 | 2,287 |
| Root Canal | $89.37 | 2,154 | 929 |
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