Based on public Medicaid payment data.
Luzviminda V Dayrit
Medicaid Provider in Rancho Cucamonga, CA
Type
Individual Provider
Address
6937 Columbia Ct
Rancho Cucamonga, CA 917392057
Phone
9096469482
NPI
1699822767
Procedures
4
Total Claims
14.1K
Patients Served
12.3K
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 | $61.95 | 10,428 | 10,321 |
| Dental Filling | $64.08 | 3,392 | 1,812 |
| Dental Crown | $476.00 | 193 | 143 |
| Tooth Extraction | $84.92 | 47 | 24 |
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