Based on public Medicaid payment data.
Jonathan Buenjemia
Medicaid Provider in Fontana, CA
Type
Individual Provider
Address
9193 Sierra Ave
Fontana, CA 923354776
Phone
9093550485
NPI
1942432273
Procedures
4
Total Claims
44.6K
Patients Served
41.1K
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 | $9.75 | 37,507 | 36,938 |
| Dental Filling | $25.51 | 6,389 | 3,768 |
| Tooth Extraction | $27.74 | 713 | 373 |
| Root Canal | $39.39 | 27 | 12 |
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