Based on public Medicaid payment data.
Divyana Ramji Baria
Medicaid Provider in San Jacinto, CA
Type
Individual Provider
Address
1497 S San Jacinto Ave Ste B
San Jacinto, CA 925835114
Phone
9514876444
NPI
1851985014
Procedures
4
Total Claims
1.4K
Patients Served
1.1K
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 | $65.57 | 677 | 677 |
| Dental Crown | $475.55 | 438 | 307 |
| Tooth Extraction | $118.33 | 177 | 64 |
| Dental Filling | $62.65 | 97 | 55 |
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