Based on public Medicaid payment data.
Shreena Mistry
Medicaid Provider in Ontario, CA
Type
Individual Provider
Address
1337 N Mountain Ave Ste 1
Ontario, CA 91762
Phone
9093337451
NPI
1952750382
Procedures
4
Total Claims
4.3K
Patients Served
4K
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 | $45.93 | 3,571 | 3,571 |
| Dental Filling | $65.94 | 568 | 366 |
| Tooth Extraction | $57.10 | 97 | 65 |
| Root Canal | $98.46 | 53 | 45 |
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