Based on public Medicaid payment data.
Maritza De La Nuez
Medicaid Provider in Fontana, CA
Type
Individual Provider
Address
16701 Valley Blvd
Fontana, CA 923356696
Phone
9093564490
NPI
1275769283
Procedures
5
Total Claims
9.9K
Patients Served
9.4K
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 | $44.92 | 8,540 | 8,533 |
| Dental Filling | $68.37 | 886 | 500 |
| Root Canal | $463.40 | 267 | 252 |
| Tooth Extraction | $85.43 | 189 | 98 |
| Dental Crown | $476.00 | 39 | 28 |
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