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Based on public Medicaid payment data.

Ingrid Regina Thuyha Mack Cruz

Medicaid Provider in Ontario, CA

Type

Individual Provider

Address

2598 S Archibald Ave Ste C

Ontario, CA 917616500

Phone

9099470670

NPI

1922275916

Procedures

2

Total Claims

2.1K

Patients Served

2.1K

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 $46.58 2,110 2,087
Dental Filling $67.20 35 12

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