Based on public Medicaid payment data.
Rachel R Johnson
Medicaid Provider in Upland, CA
Type
Individual Provider
Address
440 N Mountain Ave Ste 101
Upland, CA 917865183
Phone
9099205001
NPI
1366696262
Procedures
2
Total Claims
778
Patients Served
692
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 | $54.06 | 591 | 591 |
| Dental Filling | $55.99 | 187 | 101 |
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