Based on public Medicaid payment data.
Wilberto Isaac Penalba
Medicaid Provider in Fontana, CA
Type
Individual Provider
Address
9922 Sierra Ave
Fontana, CA 923356721
Phone
9098224800
NPI
1932487246
Procedures
1
Total Claims
29
Patients Served
29
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 | $52.83 | 29 | 29 |
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