Based on public Medicaid payment data.
Irene Malavika Justin
Medicaid Provider in Ranchocucamonga, CA
Type
Individual Provider
Address
10186 Monaco Pl
Ranchocucamonga, CA 91737
Phone
9515368419
NPI
1518080597
Procedures
2
Total Claims
13.9K
Patients Served
13.8K
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 | $54.32 | 13,698 | 13,691 |
| Dental Filling | $64.36 | 154 | 92 |
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