Based on public Medicaid payment data.
Sutheep Dave Srikureja
Medicaid Provider in Montclair, CA
Type
Individual Provider
Address
8660 Central Ave Ste A
Montclair, CA 917631692
Phone
9099200696
NPI
1962889006
Procedures
2
Total Claims
650
Patients Served
614
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 | $61.31 | 570 | 568 |
| Dental Filling | $62.37 | 80 | 46 |
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