Based on public Medicaid payment data.
Fabiola Sianturi
Medicaid Provider in Fontana, CA
Type
Individual Provider
Address
8110 Mango Ave
Fontana, CA 923353603
Phone
9098540430
NPI
1033313663
Procedures
2
Total Claims
693
Patients Served
676
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 |
|---|---|---|---|
| Office Visit | $12.06 | 661 | 644 |
| Urinalysis & Urine Tests | $0.00 | 32 | 32 |
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