Based on public Medicaid payment data.
Dale L Davis
Medicaid Provider in Upland, CA
Type
Individual Provider
Address
999 San Bernardino Rd
Upland, CA 917864920
Phone
9099204851
NPI
1184652505
Procedures
1
Total Claims
14
Patients Served
14
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 |
|---|---|---|---|
| Anesthesia Services | $166.49 | 14 | 14 |
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