Based on public Medicaid payment data.
Lourdes Cardoso
Medicaid Provider in Ontario, CA
Type
Individual Provider
Address
1051 N Mountain Avenue
Ontario, CA 91762
Phone
9099881800
NPI
1093930893
Procedures
5
Total Claims
8.6K
Patients Served
8.1K
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 | $53.53 | 7,449 | 7,421 |
| Dental Filling | $68.29 | 692 | 366 |
| Dental Crown | $474.76 | 243 | 143 |
| Tooth Extraction | $71.58 | 152 | 69 |
| Root Canal | $463.40 | 62 | 51 |
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