Based on public Medicaid payment data.
Anthony W. Deza
Medicaid Provider in Rialto, CA
Type
Individual Provider
Address
2010 N Riverside Ave
Rialto, CA 923774652
Phone
9094211555
NPI
1467641159
Procedures
5
Total Claims
21K
Patients Served
19K
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 | $53.37 | 16,517 | 16,481 |
| Tooth Extraction | $75.85 | 2,146 | 1,247 |
| Dental Filling | $62.05 | 2,035 | 1,082 |
| Dental Crown | $476.00 | 188 | 149 |
| Root Canal | $334.24 | 93 | 83 |
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