Based on public Medicaid payment data.
Jesse Seifu Felema
Medicaid Provider in Fontana, CA
Type
Individual Provider
Address
14305 Baseline Ave
Fontana, CA 92336
Phone
9093551700
NPI
1255845947
Procedures
3
Total Claims
1.5K
Patients Served
1.3K
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 | $65.34 | 956 | 953 |
| Dental Crown | $460.86 | 368 | 272 |
| Dental Filling | $62.12 | 182 | 121 |
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