Based on public Medicaid payment data.
Bruce Michael Peterson
Medicaid Provider in San Jacinto, CA
Type
Individual Provider
Address
607 Donna Way
San Jacinto, CA 925835517
Phone
9516540803
NPI
1063531481
Procedures
1
Total Claims
12
Patients Served
12
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 | $0.00 | 12 | 12 |
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