Based on public Medicaid payment data.
Corina Ramirez
Medicaid Provider in San Dimas, CA
Type
Individual Provider
Address
1075 Via Verde
San Dimas, CA 917734347
Phone
9093050642
NPI
1427194281
Procedures
4
Total Claims
32.8K
Patients Served
28.1K
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 | $53.00 | 24,517 | 24,418 |
| Dental Filling | $69.06 | 4,110 | 1,979 |
| Root Canal | $97.48 | 2,860 | 1,037 |
| Tooth Extraction | $54.52 | 1,333 | 715 |
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