Based on public Medicaid payment data.
Richard Cervantes
Medicaid Provider in Imperial, CA
Type
Individual Provider
Address
2387 Us Highway 86
Imperial, CA 922519780
Phone
7603535100
NPI
1376767038
Procedures
5
Total Claims
13.1K
Patients Served
11.6K
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 | $58.00 | 8,719 | 8,673 |
| Dental Filling | $60.68 | 1,808 | 1,322 |
| Tooth Extraction | $117.19 | 1,724 | 908 |
| Dental Crown | $475.83 | 717 | 508 |
| Root Canal | $455.93 | 155 | 140 |
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