Based on public Medicaid payment data.
Polina Fedorovna Rhoudenko
Medicaid Provider in Fullerton, CA
Type
Individual Provider
Address
100 Laguna Rd Ste 210
Fullerton, CA 928353633
Phone
7147161783
NPI
1508448861
Procedures
4
Total Claims
2.9K
Patients Served
2.2K
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 | $70.52 | 1,428 | 1,413 |
| Dental Filling | $64.95 | 1,236 | 640 |
| Dental Crown | $469.98 | 238 | 121 |
| Tooth Extraction | $114.04 | 24 | 15 |
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