Based on public Medicaid payment data.
Christin Deronian
Medicaid Provider in Glendale, CA
Type
Individual Provider
Address
1717 Don Carlos Ave
Glendale, CA 912082217
Phone
8189294107
NPI
1609246008
Procedures
4
Total Claims
2.2K
Patients Served
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 | $72.42 | 1,732 | 1,713 |
| Dental Filling | $66.43 | 333 | 173 |
| Dental Crown | $474.72 | 93 | 66 |
| Tooth Extraction | $119.00 | 20 | 16 |
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