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Based on public Medicaid payment data.

Mai Thi Nguyen-Tu

Medicaid Provider in Pomona, CA

Type

Individual Provider

Address

1922 S Garey Ave

Pomona, CA 917665724

Phone

9093740851

NPI

1730307380

Procedures

3

Total Claims

11.4K

Patients Served

10.3K

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 $49.03 8,786 8,648
Dental Filling $59.58 2,327 1,428
Tooth Extraction $57.31 333 249

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