Based on public Medicaid payment data.
Perri Sofian Putrasahan
Medicaid Provider in Cathedral City, CA
Type
Individual Provider
Address
68905 Vista Chino
Cathedral City, CA 922344866
Phone
7603252503
NPI
1447302005
Procedures
4
Total Claims
163.9K
Patients Served
121.2K
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 | $50.80 | 92,730 | 92,105 |
| Dental Filling | $66.06 | 44,368 | 19,789 |
| Root Canal | $98.62 | 20,118 | 6,023 |
| Tooth Extraction | $57.16 | 6,696 | 3,244 |
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