Based on public Medicaid payment data.
Marianna Ruby Gomez
Medicaid Provider in Ontario, CA
Type
Individual Provider
Address
701 N Milliken Ave Ste B
Ontario, CA 917645018
Phone
9092948690
NPI
1851040067
Procedures
2
Total Claims
2.7K
Patients Served
2.5K
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 | $34.45 | 2,690 | 2,501 |
| Dental Filling | $89.18 | 40 | 16 |
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