Based on public Medicaid payment data.
Parisa Gheidarpour
Medicaid Provider in Rancho Cucamonga, CA
Type
Individual Provider
Address
8599 Haven Ave Ste 105
Rancho Cucamonga, CA 917304849
Phone
9099452342
NPI
1073927935
Procedures
2
Total Claims
641
Patients Served
440
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 Filling | $61.32 | 341 | 140 |
| Dental Cleaning & Exam | $71.60 | 300 | 300 |
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