Based on public Medicaid payment data.
Devan Dalla
Medicaid Provider in Elk Grove, CA
Type
Individual Provider
Address
2733 Elk Grove Blvd
Elk Grove, CA 957587165
Phone
9169751000
NPI
1649610536
Procedures
4
Total Claims
1.4K
Patients Served
1K
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 | $72.98 | 790 | 790 |
| Dental Filling | $59.40 | 410 | 184 |
| Tooth Extraction | $115.90 | 115 | 41 |
| Dental Crown | $476.00 | 42 | 19 |
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