Based on public Medicaid payment data.
Richa Mishra
Medicaid Provider in Sonora, CA
Type
Individual Provider
Address
19969 Greenley Rd
Sonora, CA 953705908
Phone
2095320034
NPI
1952769408
Procedures
5
Total Claims
21.6K
Patients Served
19.7K
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 | $58.23 | 16,723 | 16,625 |
| Tooth Extraction | $56.13 | 2,163 | 1,125 |
| Dental Filling | $62.37 | 2,042 | 1,576 |
| Root Canal | $96.01 | 625 | 312 |
| Anesthesia Services | $325.00 | 15 | 15 |
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