Based on public Medicaid payment data.
Supakanya Wongrakpanich
Medicaid Provider in Loma Linda, CA
Type
Individual Provider
Address
25455 Barton Rd Ste 204B
Loma Linda, CA 923543130
Phone
9099586600
NPI
1568877413
Procedures
1
Total Claims
102
Patients Served
55
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 |
|---|---|---|---|
| X-Ray | $6.02 | 102 | 55 |
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