Based on public Medicaid payment data.
Eduardo Sandoval
Medicaid Provider in Rancho Cucamonga, CA
Type
Individual Provider
Address
8325 Haven Ave Ste 130
Rancho Cucamonga, CA 917303894
Phone
9099893566
NPI
1972241446
Procedures
2
Total Claims
267
Patients Served
175
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 | $62.07 | 212 | 120 |
| Dental Cleaning & Exam | $61.72 | 55 | 55 |
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