Based on public Medicaid payment data.
Min Swe
Medicaid Provider in Upland, CA
Type
Individual Provider
Address
600 N Mountain Ave
Upland, CA 917864359
Phone
9099811300
NPI
1669523478
Procedures
4
Total Claims
2K
Patients Served
1.7K
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 | $68.66 | 1,248 | 1,241 |
| Dental Filling | $61.40 | 684 | 364 |
| Tooth Extraction | $119.00 | 47 | 27 |
| Dental Crown | $476.00 | 40 | 27 |
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