Based on public Medicaid payment data.
Maria-Isabel Correa
Medicaid Provider in Fontana, CA
Type
Individual Provider
Address
17171 Foothill Blvd
Fontana, CA 923359047
Phone
9094270707
NPI
1083753149
Procedures
4
Total Claims
11.3K
Patients Served
10.3K
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 | $52.84 | 8,737 | 8,722 |
| Dental Filling | $61.87 | 2,298 | 1,388 |
| Dental Crown | $476.00 | 269 | 191 |
| Tooth Extraction | $119.00 | 15 | 12 |
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