Based on public Medicaid payment data.
Jing Chen
Medicaid Provider in Pomona, CA
Type
Individual Provider
Address
430 W Holt Ave Ste E
Pomona, CA 917683612
Phone
9096234435
NPI
1003035239
Procedures
5
Total Claims
11.7K
Patients Served
10.4K
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 | $63.83 | 8,762 | 8,713 |
| Dental Filling | $67.59 | 2,064 | 1,039 |
| Tooth Extraction | $114.89 | 455 | 295 |
| Dental Crown | $476.00 | 399 | 299 |
| Root Canal | $186.93 | 42 | 38 |
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