Based on public Medicaid payment data.
David Richard Bonanno
Medicaid Provider in San Diego, CA
Type
Individual Provider
Address
11717 Bernardo Plaza Ct Ste 100
San Diego, CA 921282419
Phone
8586731633
NPI
1811549918
Procedures
3
Total Claims
487
Patients Served
461
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 | $36.96 | 411 | 409 |
| Dental Filling | $141.54 | 54 | 40 |
| Tooth Extraction | $101.78 | 22 | 12 |
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