Based on public Medicaid payment data.
Laura De Lopez
Medicaid Provider in Pomona, CA
Type
Individual Provider
Address
1320 N Garey Ave
Pomona, CA 917673808
Phone
9096234487
NPI
1417089459
Procedures
2
Total Claims
3.6K
Patients Served
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 Filling | $60.91 | 2,694 | 1,131 |
| Dental Cleaning & Exam | $54.87 | 909 | 908 |
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