Based on public Medicaid payment data.
Swathi Ponugoti
Medicaid Provider in Fremont, CA
Type
Individual Provider
Address
3899 Milton Ter
Fremont, CA 945552244
Phone
9522217414
NPI
1932531803
Procedures
3
Total Claims
9.8K
Patients Served
9.6K
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 | $46.77 | 9,352 | 9,344 |
| Dental Filling | $65.93 | 353 | 232 |
| Tooth Extraction | $56.83 | 101 | 38 |
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