Based on public Medicaid payment data.
Jane Elizabeth Caballero
Medicaid Provider in Phelan, CA
Type
Individual Provider
Address
4220 Phelan Rd
Phelan, CA 923713901
Phone
7608682783
NPI
1487880589
Procedures
5
Total Claims
39.6K
Patients Served
28.8K
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 | $54.19 | 20,207 | 20,052 |
| Root Canal | $97.59 | 8,760 | 3,019 |
| Dental Filling | $64.87 | 6,416 | 3,581 |
| Tooth Extraction | $59.31 | 4,135 | 2,146 |
| Dental Crown | $470.18 | 61 | 42 |
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