Based on public Medicaid payment data.
Sean Pairawan
Medicaid Provider in City Of Industry, CA
Type
Individual Provider
Address
21750 Valley Blvd Ste C
City Of Industry, CA 917890939
Phone
9095950807
NPI
1821673468
Procedures
2
Total Claims
653
Patients Served
639
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 | $62.58 | 608 | 606 |
| Dental Filling | $53.78 | 45 | 33 |
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