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Based on public Medicaid payment data.

Roy Dagamat Soriano

Medicaid Provider in Victorville, CA

Type

Individual Provider

Address

14084 Amargosa Rd

Victorville, CA 923922486

Phone

7605964253

NPI

1619182037

Procedures

5

Total Claims

32.8K

Patients Served

26.6K

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 $55.12 18,047 18,006
Dental Filling $67.34 8,431 4,670
Tooth Extraction $101.20 4,216 2,202
Dental Crown $475.27 1,306 973
Root Canal $412.95 821 724

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