Based on public Medicaid payment data.
Jerson M. Vasquez
Medicaid Provider in Upland, CA
Type
Individual Provider
Address
270 E. 7Th Street
Upland, CA 91786
Phone
9099851211
NPI
1609904366
Procedures
5
Total Claims
9.2K
Patients Served
8.8K
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 | $58.40 | 8,126 | 8,076 |
| Tooth Extraction | $107.34 | 508 | 293 |
| Dental Crown | $469.65 | 281 | 214 |
| Dental Filling | $66.25 | 238 | 159 |
| Root Canal | $365.40 | 16 | 15 |
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