Based on public Medicaid payment data.
Ethel Noemi Aguilar Rios
Medicaid Provider in Mountain View, CA
Type
Individual Provider
Address
1429 Grant Rd # B
Mountain View, CA 940403250
Phone
5309619194
NPI
1568848190
Procedures
2
Total Claims
50
Patients Served
42
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 | $66.00 | 30 | 30 |
| Dental Filling | $67.20 | 20 | 12 |
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