Based on public Medicaid payment data.
Jairo Humberto Molta
Medicaid Provider in Fresno, CA
Type
Individual Provider
Address
371 E Bullard Ave
Fresno, CA 937105217
Phone
5594400150
NPI
1679981898
Procedures
2
Total Claims
13.6K
Patients Served
12.8K
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 | $50.12 | 11,754 | 11,721 |
| Dental Filling | $62.03 | 1,869 | 1,060 |
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