Based on public Medicaid payment data.
Xijie Yang
Medicaid Provider in Montclair, CA
Type
Individual Provider
Address
9595 Central Ave
Montclair, CA 917632424
Phone
9096249087
NPI
1225297211
Procedures
5
Total Claims
17.3K
Patients Served
15.4K
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 | $54.47 | 12,476 | 12,431 |
| Dental Filling | $70.05 | 2,953 | 1,741 |
| Tooth Extraction | $57.67 | 1,486 | 891 |
| Dental Crown | $474.70 | 275 | 205 |
| Root Canal | $129.34 | 118 | 85 |
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