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Based on public Medicaid payment data.

Jordan H.Q. Tran

Medicaid Provider in Fort Irwin, CA

Type

Individual Provider

Address

4Th & Inner Loop Road

Fort Irwin, CA 92310

Phone

7195265537

NPI

1710960620

Procedures

3

Total Claims

500

Patients Served

402

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 $67.60 296 296
Dental Filling $61.74 157 80
Tooth Extraction $119.00 47 26

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