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Based on public Medicaid payment data.

Rafael Poblete Sustento

Medicaid Provider in Newhall, CA

Type

Individual Provider

Address

23206 Lyons Ave Ste 208

Newhall, CA 913212672

Phone

6617999828

NPI

1093855264

Procedures

1

Total Claims

39

Patients Served

38

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 $25.15 39 38

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