Based on public Medicaid payment data.
Russel Rovira Nolasco
Medicaid Provider in Upland, CA
Type
Individual Provider
Address
1042 N Mountain Ave Ste A2
Upland, CA 917863695
Phone
9095790623
NPI
1295291516
Procedures
2
Total Claims
6.6K
Patients Served
6K
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 | $55.65 | 5,445 | 5,390 |
| Dental Filling | $58.38 | 1,157 | 586 |
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