Based on public Medicaid payment data.
Rosa Adriana Mora Medina
Medicaid Provider in Palmdale, CA
Type
Individual Provider
Address
2508 E Palmdale Blvd
Palmdale, CA 935504860
Phone
6619479990
NPI
1437863826
Procedures
5
Total Claims
11.2K
Patients Served
9K
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 | $63.38 | 7,093 | 7,088 |
| Dental Filling | $69.90 | 2,524 | 1,216 |
| Tooth Extraction | $57.31 | 881 | 430 |
| Root Canal | $98.94 | 534 | 189 |
| Dental Crown | $476.00 | 162 | 117 |
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