Based on public Medicaid payment data.
Wade M Banner
Medicaid Provider in Glendora, CA
Type
Individual Provider
Address
2060 E Route 66 Ste 105
Glendora, CA 917404691
Phone
6265940374
NPI
1952718702
Procedures
3
Total Claims
6.2K
Patients Served
5.7K
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 | $65.03 | 5,073 | 5,047 |
| Dental Filling | $61.41 | 1,088 | 578 |
| Tooth Extraction | $75.10 | 65 | 27 |
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