Based on public Medicaid payment data.
Maria Lourdes Perez-De La Rosa
Medicaid Provider in Fresno, CA
Type
Individual Provider
Address
5132 N Fresno St
Fresno, CA 937106826
Phone
5592265700
NPI
1144389164
Procedures
2
Total Claims
1.2K
Patients Served
1.1K
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 | $25.23 | 949 | 944 |
| Dental Filling | $16.87 | 243 | 177 |
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