Based on public Medicaid payment data.
Sheila M Tedja Luwiharto
Medicaid Provider in Mission Viejo, CA
Type
Individual Provider
Address
27001 La Paz Rd Ste 236
Mission Viejo, CA 926915537
Phone
9497680211
NPI
1710265251
Procedures
1
Total Claims
2.7K
Patients Served
2.6K
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 | $32.48 | 2,658 | 2,642 |
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