Based on public Medicaid payment data.
Carol S Calicdan
Medicaid Provider in Upland, CA
Type
Individual Provider
Address
1227 W Foothill Blvd
Upland, CA 917863681
Phone
9099815083
NPI
1205042322
Procedures
3
Total Claims
5.4K
Patients Served
4.8K
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 | $57.51 | 3,169 | 3,157 |
| Dental Filling | $63.67 | 1,725 | 1,181 |
| Dental Crown | $465.60 | 547 | 426 |
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