Based on public Medicaid payment data.
Ethar Riyadh Al-Wazeer
Medicaid Provider in Fontana, CA
Type
Individual Provider
Address
10144 Sierra Ave
Fontana, CA 923356725
Phone
9097707367
NPI
1366054348
Procedures
2
Total Claims
7.5K
Patients Served
7.1K
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 | $62.92 | 6,473 | 6,404 |
| Dental Filling | $66.62 | 995 | 648 |
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