Based on public Medicaid payment data.
Mary Rose Bicierro Manzana
Medicaid Provider in Valencia, CA
Type
Individual Provider
Address
24307 Astor Racing Ct
Valencia, CA 913544918
Phone
6617141361
NPI
1811031057
Procedures
4
Total Claims
15.8K
Patients Served
10.3K
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 Filling | $65.98 | 6,732 | 3,050 |
| Dental Cleaning & Exam | $43.72 | 5,611 | 5,592 |
| Tooth Extraction | $57.24 | 2,441 | 1,232 |
| Root Canal | $99.31 | 1,064 | 433 |
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