Based on public Medicaid payment data.
Ernesto Manuel Tena
Medicaid Provider in Pico Rivera, CA
Type
Individual Provider
Address
6654 Rosemead Blvd
Pico Rivera, CA 90660
Phone
5622222833
NPI
1427117514
Procedures
1
Total Claims
330
Patients Served
330
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 | $30.45 | 330 | 330 |
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