Based on public Medicaid payment data.
Justin Liggett
Medicaid Provider in Sonora, CA
Type
Individual Provider
Address
765 Morning Star Dr
Sonora, CA 953705193
Phone
2095327418
NPI
1184090201
Procedures
3
Total Claims
433
Patients Served
394
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 | $46.73 | 330 | 329 |
| Tooth Extraction | $92.26 | 61 | 38 |
| Dental Filling | $95.95 | 42 | 27 |
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