Based on public Medicaid payment data.
Dianne Thanh Le
Medicaid Provider in Rancho Cucamonga, CA
Type
Individual Provider
Address
12252 Eton Dr
Rancho Cucamonga, CA 917392547
Phone
9092543189
NPI
1144418567
Procedures
4
Total Claims
4.7K
Patients Served
4.2K
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 Cleaning & Exam | $59.38 | 3,765 | 3,758 |
| Dental Filling | $59.20 | 487 | 252 |
| Tooth Extraction | $57.22 | 311 | 170 |
| Root Canal | $99.40 | 95 | 34 |
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