Based on public Medicaid payment data.
Vimala D Vontela
Medicaid Provider in Manteca, CA
Type
Individual Provider
Address
527 E Center St
Manteca, CA 953364719
Phone
2098237655
NPI
1578661617
Procedures
3
Total Claims
9.6K
Patients Served
7.9K
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 | $67.13 | 6,926 | 6,926 |
| Dental Filling | $59.31 | 2,614 | 970 |
| Tooth Extraction | $114.75 | 28 | 12 |
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