Based on public Medicaid payment data.
Omar Alfaro
Medicaid Provider in Fontana, CA
Type
Individual Provider
Address
16701 Valley Blvd Ste C
Fontana, CA 923356696
Phone
9093564490
NPI
1649041336
Procedures
3
Total Claims
186
Patients Served
146
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 | $68.77 | 112 | 112 |
| Tooth Extraction | $114.22 | 40 | 17 |
| Dental Filling | $67.20 | 34 | 17 |
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