Based on public Medicaid payment data.
Michael John Belton
Medicaid Provider in Rancho Cucamonga, CA
Type
Individual Provider
Address
10470 Foothill Blvd
Rancho Cucamonga, CA 917303754
Phone
9099892303
NPI
1720174832
Procedures
2
Total Claims
8.9K
Patients Served
6.1K
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 | $165.70 | 5,233 | 2,436 |
| Dental Cleaning & Exam | $64.62 | 3,698 | 3,688 |
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