Based on public Medicaid payment data.
Kenneth Bonner
Medicaid Provider in South Gate, CA
Type
Individual Provider
Address
4186 Tweedy Blvd
South Gate, CA 902806159
Phone
3237310801
NPI
1831395425
Procedures
1
Total Claims
82
Patients Served
82
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 | $44.48 | 82 | 82 |
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