Based on public Medicaid payment data.
Maria V Agustin
Medicaid Provider in Spring Valley, CA
Type
Individual Provider
Address
645 Sweetwawter Rd.
Spring Valley, CA 91977
Phone
6194640426
NPI
1568633295
Procedures
3
Total Claims
19.7K
Patients Served
17.7K
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 | $56.37 | 15,500 | 15,470 |
| Dental Filling | $63.56 | 4,126 | 2,235 |
| Tooth Extraction | $57.40 | 40 | 26 |
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