Based on public Medicaid payment data.
Peter Nicholas Jimenez
Medicaid Provider in Yucaipa, CA
Type
Individual Provider
Address
31646 Dunlap Blvd
Yucaipa, CA 923991602
Phone
9097944909
NPI
1891828778
Procedures
4
Total Claims
50.9K
Patients Served
43.7K
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 | $54.11 | 38,272 | 38,000 |
| Tooth Extraction | $54.75 | 5,909 | 1,994 |
| Dental Filling | $62.84 | 4,919 | 2,782 |
| Root Canal | $95.90 | 1,813 | 918 |
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