Based on public Medicaid payment data.
Gabriel Grajedo Martinez
Medicaid Provider in Yucaipa, CA
Type
Individual Provider
Address
12136 4Th St
Yucaipa, CA 92399
Phone
9097904478
NPI
1790827996
Procedures
4
Total Claims
3.7K
Patients Served
3.1K
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 | $61.10 | 2,160 | 2,157 |
| Dental Filling | $60.54 | 1,428 | 914 |
| Dental Crown | $476.00 | 72 | 61 |
| Tooth Extraction | $57.40 | 37 | 14 |
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