Based on public Medicaid payment data.
Maria Camila Borrero Fonseca
Medicaid Provider in Tracy, CA
Type
Individual Provider
Address
569 W Lowell Ave Ste 200
Tracy, CA 953763084
Phone
3104988167
NPI
1033245345
Procedures
4
Total Claims
5.8K
Patients Served
4.5K
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 | $59.04 | 3,451 | 3,449 |
| Dental Filling | $69.37 | 1,036 | 566 |
| Root Canal | $98.72 | 1,027 | 303 |
| Tooth Extraction | $57.04 | 321 | 183 |
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