Based on public Medicaid payment data.
Ghazaleh Nouri
Medicaid Provider in Rancho Cucamonga, CA
Type
Individual Provider
Address
7319 Milliken Ave Ste 110
Rancho Cucamonga, CA 917306704
Phone
9099453650
NPI
1093206872
Procedures
2
Total Claims
949
Patients Served
827
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 | $70.46 | 747 | 746 |
| Dental Filling | $62.77 | 202 | 81 |
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