Based on public Medicaid payment data.
Randolph Anthony Borquez
Medicaid Provider in Norwalk, CA
Type
Individual Provider
Address
12440 Firestone Blvd
Norwalk, CA 906504328
Phone
5628634333
NPI
1770649337
Procedures
4
Total Claims
1.2K
Patients Served
979
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 | $69.78 | 718 | 718 |
| Dental Filling | $59.97 | 262 | 137 |
| Dental Crown | $476.00 | 116 | 93 |
| Tooth Extraction | $119.00 | 61 | 31 |
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