Based on public Medicaid payment data.
Vivian Lim
Medicaid Provider in Rancho Cucamonga, CA
Type
Individual Provider
Address
7210 Day Creek Blvd Ste 110
Rancho Cucamonga, CA 917397543
Phone
9098031111
NPI
1710383724
Procedures
2
Total Claims
507
Patients Served
281
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 | $113.76 | 448 | 222 |
| Dental Cleaning & Exam | $67.00 | 59 | 59 |
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