Based on public Medicaid payment data.
George Levy Parker
Medicaid Provider in Fontana, CA
Type
Individual Provider
Address
16475 Sierra Lakes Pkwy Ste 140
Fontana, CA 923361259
Phone
9093570869
NPI
1407334535
Procedures
4
Total Claims
6.4K
Patients Served
6.1K
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 | $55.36 | 5,285 | 5,279 |
| Dental Filling | $64.21 | 935 | 604 |
| Tooth Extraction | $109.06 | 177 | 142 |
| Root Canal | $454.31 | 51 | 46 |
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