Based on public Medicaid payment data.
Mario Javier Castellanos
Medicaid Provider in Fontana, CA
Type
Individual Provider
Address
9725 Sierra Ave
Fontana, CA 923356716
Phone
9098226200
NPI
1285927962
Procedures
4
Total Claims
21.6K
Patients Served
18.3K
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 | $50.45 | 15,506 | 15,457 |
| Dental Filling | $65.58 | 4,483 | 2,107 |
| Tooth Extraction | $56.38 | 1,526 | 669 |
| Root Canal | $96.85 | 117 | 51 |
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