Based on public Medicaid payment data.
Abraham Nilton Deza Rolando
Medicaid Provider in Moreno Valley, CA
Type
Individual Provider
Address
24561 Alessandro Blvd
Moreno Valley, CA 925533918
Phone
9512429857
NPI
1831635317
Procedures
3
Total Claims
5.1K
Patients Served
4.7K
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 | $59.49 | 4,418 | 4,375 |
| Dental Filling | $62.15 | 608 | 302 |
| Dental Crown | $476.00 | 66 | 40 |
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