Based on public Medicaid payment data.
Liliana Popova
Medicaid Provider in Rialto, CA
Type
Individual Provider
Address
1205 Renaissance Pkwy Ste 240
Rialto, CA 923762418
Phone
9097465000
NPI
1487306536
Procedures
3
Total Claims
323
Patients Served
268
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 | $51.16 | 215 | 214 |
| Tooth Extraction | $56.52 | 65 | 26 |
| Dental Filling | $58.31 | 43 | 28 |
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