Based on public Medicaid payment data.
Maxime Jean Marie Rolle
Medicaid Provider in Loma Linda, CA
Type
Individual Provider
Address
25590 Prospect Ave Apt 18A
Loma Linda, CA 923543147
Phone
9093023869
NPI
1083085401
Procedures
5
Total Claims
12.7K
Patients Served
10.9K
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 | $58.72 | 9,010 | 8,947 |
| Dental Filling | $61.84 | 2,233 | 1,143 |
| Tooth Extraction | $76.29 | 1,339 | 687 |
| Root Canal | $98.08 | 126 | 70 |
| Dental Crown | $442.02 | 34 | 24 |
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