Based on public Medicaid payment data.
Dakandryia Peters
Medicaid Provider in Rialto, CA
Type
Individual Provider
Address
2019 N Riverside Ave # C
Rialto, CA 923774657
Phone
9098772000
NPI
1205398567
Procedures
3
Total Claims
1.5K
Patients Served
1.4K
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 | $55.50 | 1,330 | 1,330 |
| Dental Filling | $65.44 | 177 | 103 |
| Tooth Extraction | $57.40 | 18 | 14 |
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