Based on public Medicaid payment data.
Anthony James Antenorcruz
Medicaid Provider in Upland, CA
Type
Individual Provider
Address
585 N Mountain Ave
Upland, CA 917868516
Phone
9099462228
NPI
1376722884
Procedures
1
Total Claims
30
Patients Served
30
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 |
|---|---|---|---|
| Office Visit | $29.04 | 30 | 30 |
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