Based on public Medicaid payment data.
Leticia D Ramirez
Medicaid Provider in Fresno, CA
Type
Individual Provider
Address
3248 E Shields Ave Ste B
Fresno, CA 937266915
Phone
5592258300
NPI
1710416847
Procedures
5
Total Claims
8.4K
Patients Served
7.9K
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 | $58.02 | 6,538 | 6,514 |
| Dental Filling | $61.86 | 1,786 | 1,260 |
| Dental Crown | $470.27 | 83 | 65 |
| Tooth Extraction | $49.57 | 22 | 14 |
| Root Canal | $463.40 | 12 | 12 |
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