Based on public Medicaid payment data.
Ana Liza Espiritu De Jesus
Medicaid Provider in Rancho Cucamonga, CA
Type
Individual Provider
Address
11450 Fallingstar Ct
Rancho Cucamonga, CA 917019251
Phone
9099452661
NPI
1255430708
Procedures
4
Total Claims
4K
Patients Served
3.4K
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 | $56.28 | 3,001 | 2,994 |
| Dental Filling | $68.67 | 567 | 240 |
| Tooth Extraction | $57.43 | 314 | 142 |
| Root Canal | $99.70 | 166 | 68 |
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