Based on public Medicaid payment data.
Caroline Pimentel Moore
Medicaid Provider in National City, CA
Type
Individual Provider
Address
3110 E Plaza Blvd
National City, CA 919503932
Phone
6194795533
NPI
1316156839
Procedures
2
Total Claims
848
Patients Served
824
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 | $59.66 | 821 | 812 |
| Dental Filling | $52.58 | 27 | 12 |
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