Based on public Medicaid payment data.
Luis J Riberos
Medicaid Provider in San Juan Capistrano, CA
Type
Individual Provider
Address
31654 Rancho Viejo Rd Ste I-1
San Juan Capistrano, CA 926756754
Phone
9492404337
NPI
1386808400
Procedures
1
Total Claims
24
Patients Served
24
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 | $78.00 | 24 | 24 |
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