Based on public Medicaid payment data.
Susan Richards
Medicaid Provider in Loma Linda, CA
Type
Individual Provider
Address
Llusd Special Care Dentistry
Loma Linda, CA 923500001
Phone
9095584611
NPI
1194889923
Procedures
4
Total Claims
805
Patients Served
660
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 | $25.25 | 565 | 563 |
| Dental Filling | $63.25 | 123 | 58 |
| Tooth Extraction | $57.40 | 101 | 27 |
| Root Canal | $80.76 | 16 | 12 |
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