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Based on public Medicaid payment data.

Enrique Lewin

Medicaid Provider in Rancho Cucamonga, CA

Type

Individual Provider

Address

7890 Haven Ave. Ste 3

Rancho Cucamonga, CA 917300961

Phone

9094842505

NPI

1669843496

Procedures

4

Total Claims

10K

Patients Served

8.4K

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 $55.53 6,916 6,886
Dental Filling $64.61 2,488 1,251
Tooth Extraction $112.47 392 151
Dental Crown $473.30 176 112

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