Based on public Medicaid payment data.
Maria Katrina Llorente Dominguez
Medicaid Provider in Santa Ana, CA
Type
Individual Provider
Address
3401 S Harbor Blvd
Santa Ana, CA 927047933
Phone
8889882800
NPI
1205100344
Procedures
2
Total Claims
116
Patients Served
112
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 |
|---|---|---|---|
| Office Visit | $74.47 | 104 | 100 |
| Vaccines & Immunizations | $3.58 | 12 | 12 |
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