Based on public Medicaid payment data.
Blanca E. Zamora
Medicaid Provider in Garden Grove, CA
Type
Individual Provider
Address
12833 Harbor Blvd
Garden Grove, CA 928405806
Phone
7145349840
NPI
1164685723
Procedures
4
Total Claims
1.7K
Patients Served
1.5K
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 | $64.40 | 1,173 | 1,173 |
| Dental Crown | $476.00 | 247 | 163 |
| Dental Filling | $63.31 | 178 | 127 |
| Tooth Extraction | $119.00 | 81 | 50 |
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