Based on public Medicaid payment data.
Dexter Reyes Dejesus
Medicaid Provider in Victorville, CA
Type
Individual Provider
Address
12640 Hesperia Rd Ste A
Victorville, CA 923957753
Phone
7602413336
NPI
1902016876
Procedures
5
Total Claims
5.9K
Patients Served
4.8K
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 | $58.13 | 3,641 | 3,618 |
| Dental Filling | $61.85 | 1,790 | 937 |
| Dental Crown | $476.00 | 254 | 190 |
| Tooth Extraction | $118.25 | 159 | 62 |
| Root Canal | $463.40 | 12 | 12 |
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