Based on public Medicaid payment data.
Michael Min
Medicaid Provider in Ontario, CA
Type
Individual Provider
Address
1921 E 4Th St
Ontario, CA 917642603
Phone
9099891556
NPI
1043249436
Procedures
3
Total Claims
9K
Patients Served
8.8K
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 | $54.61 | 8,678 | 8,625 |
| Tooth Extraction | $114.57 | 168 | 121 |
| Dental Filling | $66.71 | 138 | 77 |
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