Based on public Medicaid payment data.
Maria A. Cruz Agustin
Medicaid Provider in Ontario, CA
Type
Individual Provider
Address
1950 S Grove Ave
Ontario, CA 917615693
Phone
9099301197
NPI
1538233093
Procedures
1
Total Claims
1.3K
Patients Served
1.3K
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 | $55.69 | 1,330 | 1,324 |
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