Based on public Medicaid payment data.
Mani Matin
Medicaid Provider in Ontario, CA
Type
Individual Provider
Address
1361 E 4Th St
Ontario, CA 917643035
Phone
7039466412
NPI
1932401783
Procedures
4
Total Claims
12.9K
Patients Served
10.1K
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 | $63.34 | 6,785 | 6,760 |
| Dental Filling | $61.80 | 5,683 | 3,014 |
| Dental Crown | $475.68 | 368 | 265 |
| Tooth Extraction | $71.09 | 72 | 38 |
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