Based on public Medicaid payment data.
Samuel Sauza
Medicaid Provider in West Covina, CA
Type
Individual Provider
Address
1050 Lakes Dr Ste 140
West Covina, CA 917902929
Phone
6266539560
NPI
1164946356
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 | $30.70 | 1,313 | 1,298 |
| Tooth Extraction | $119.00 | 160 | 61 |
| Dental Filling | $67.20 | 75 | 45 |
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