Based on public Medicaid payment data.
Rolando Guillermo Drachenberg
Medicaid Provider in Alpine, CA
Type
Individual Provider
Address
4058 Willows Rd
Alpine, CA 919011668
Phone
6194451188
NPI
1780756346
Procedures
3
Total Claims
7.4K
Patients Served
6.5K
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 | $40.07 | 4,726 | 4,713 |
| Dental Filling | $58.78 | 2,477 | 1,573 |
| Tooth Extraction | $55.54 | 239 | 172 |
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