Based on public Medicaid payment data.
Steven William Friedrichsen
Medicaid Provider in Pomona, CA
Type
Individual Provider
Address
795 E Second Street
Pomona, CA 917662020
Phone
9097063911
NPI
1992974240
Procedures
4
Total Claims
22.4K
Patients Served
19.4K
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 | $51.32 | 14,948 | 14,831 |
| Tooth Extraction | $76.21 | 4,113 | 1,979 |
| Dental Filling | $61.53 | 3,309 | 2,558 |
| Root Canal | $59.62 | 14 | 14 |
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