Based on public Medicaid payment data.
Luisa Fernanda Olano Botero
Medicaid Provider in Victorville, CA
Type
Individual Provider
Address
13790 Bear Valley Road
Victorville, CA 92392
Phone
7609552273
NPI
1689705071
Procedures
4
Total Claims
24.2K
Patients Served
22.3K
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 Cleaning & Exam | $49.99 | 18,582 | 18,502 |
| Dental Filling | $60.24 | 4,511 | 3,023 |
| Tooth Extraction | $57.00 | 1,049 | 736 |
| Root Canal | $99.40 | 36 | 26 |
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