Based on public Medicaid payment data.
Hernando Suarez Ayora
Medicaid Provider in Pomona, CA
Type
Individual Provider
Address
2280 S Garey Ave
Pomona, CA 917665645
Phone
9093640633
NPI
1528025798
Procedures
4
Total Claims
5.6K
Patients Served
5.2K
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 | $37.67 | 4,247 | 4,227 |
| Dental Filling | $52.68 | 799 | 625 |
| Tooth Extraction | $52.25 | 388 | 248 |
| Dental Crown | $423.39 | 124 | 101 |
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