Based on public Medicaid payment data.
Imelda Diaz Soto
Medicaid Provider in West Covina, CA
Type
Individual Provider
Address
1031 E Amar Rd
West Covina, CA 91792
Phone
6263306655
NPI
1093991713
Procedures
3
Total Claims
1.5K
Patients Served
1.4K
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 | $66.96 | 1,157 | 1,151 |
| Dental Filling | $64.87 | 344 | 204 |
| Dental Crown | $476.00 | 33 | 25 |
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