Based on public Medicaid payment data.
Jonathan Coutin
Medicaid Provider in Crescent City, CA
Type
Individual Provider
Address
550 E Washington Blvd Ste 100
Crescent City, CA 955318161
Phone
7074656925
NPI
1548631443
Procedures
3
Total Claims
327
Patients Served
276
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 | $39.14 | 197 | 189 |
| Dental Filling | $52.65 | 96 | 73 |
| Tooth Extraction | $86.46 | 34 | 14 |
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