Based on public Medicaid payment data.
Ebenezer Johnson
Medicaid Provider in Montclair, CA
Type
Individual Provider
Address
9645 Monte Vista Ave
Montclair, CA 91763
Phone
9096216002
NPI
1518002260
Procedures
2
Total Claims
1.7K
Patients Served
1.1K
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 Filling | $54.84 | 1,061 | 480 |
| Dental Cleaning & Exam | $61.01 | 665 | 664 |
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