Based on public Medicaid payment data.
Chanchai Sangsurasak
Medicaid Provider in Riverside, CA
Type
Individual Provider
Address
3410 La Sierra Ave Ste D
Riverside, CA 925035205
Phone
9513549550
NPI
1164652053
Procedures
4
Total Claims
6.8K
Patients Served
6K
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 | $68.90 | 4,892 | 4,876 |
| Dental Filling | $59.31 | 1,854 | 1,066 |
| Tooth Extraction | $72.38 | 74 | 41 |
| Dental Crown | $476.00 | 15 | 12 |
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