Based on public Medicaid payment data.
Khal Liam Mancini
Medicaid Provider in Rancho Cucamonga, CA
Type
Individual Provider
Address
9543 Retreat Pl
Rancho Cucamonga, CA 917309201
Phone
3236494629
NPI
1104599612
Procedures
1
Total Claims
403
Patients Served
173
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 |
|---|---|---|---|
| Tooth Extraction | $116.34 | 403 | 173 |
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