Based on public Medicaid payment data.
Jorge David Cervantes
Medicaid Provider in Moreno Valley, CA
Type
Individual Provider
Address
23080 Alessandro Blvd Ste 201
Moreno Valley, CA 925539674
Phone
9516970909
NPI
1801082151
Procedures
4
Total Claims
8.8K
Patients Served
8.3K
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 | $52.47 | 7,278 | 7,243 |
| Dental Filling | $64.54 | 1,461 | 1,011 |
| Tooth Extraction | $57.40 | 20 | 14 |
| Dental Crown | $453.15 | 13 | 13 |
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