Based on public Medicaid payment data.
Jessica Suhardjo
Medicaid Provider in Victorville, CA
Type
Individual Provider
Address
15290 Bear Valley Rd Ste B
Victorville, CA 923958515
Phone
7604933215
NPI
1518749050
Procedures
1
Total Claims
216
Patients Served
216
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 | $33.91 | 216 | 216 |
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