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Based on public Medicaid payment data.

Abigail Alyssa Aviles Manahan

Medicaid Provider in Moreno Valley, CA

Type

Individual Provider

Address

24021 Alessandro Blvd Ste A120

Moreno Valley, CA 925536710

Phone

9512423328

NPI

1326706268

Procedures

4

Total Claims

6.4K

Patients Served

5.7K

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 $58.00 4,484 4,484
Dental Filling $62.80 1,491 926
Tooth Extraction $55.03 306 198
Root Canal $99.40 72 46

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