Based on public Medicaid payment data.
Elizabeth A Andrews
Medicaid Provider in Pomona, CA
Type
Individual Provider
Address
795 East Second Street
Pomona, CA 917662020
Phone
9097063551
NPI
1356595151
Procedures
4
Total Claims
9.7K
Patients Served
8.3K
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 | $72.10 | 6,652 | 6,624 |
| Tooth Extraction | $69.13 | 2,375 | 1,190 |
| Dental Filling | $61.36 | 529 | 410 |
| Root Canal | $61.72 | 123 | 117 |
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