Based on public Medicaid payment data.
Susan R Real-Raz
Medicaid Provider in Moreno Valley, CA
Type
Individual Provider
Address
12725 Perris Blvd
Moreno Valley, CA 925534110
Phone
9514860119
NPI
1679624902
Procedures
3
Total Claims
5.1K
Patients Served
5K
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 | $52.87 | 4,885 | 4,882 |
| Dental Filling | $65.97 | 219 | 135 |
| Dental Crown | $476.00 | 24 | 14 |
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