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Based on public Medicaid payment data.

Tatiana Mikaelian

Medicaid Provider in Glendale, CA

Type

Individual Provider

Address

1209 N Central Ave Apt 203

Glendale, CA 912023180

Phone

2138403229

NPI

1801929393

Procedures

4

Total Claims

23.9K

Patients Served

20.7K

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 $41.54 16,885 16,789
Dental Filling $61.64 4,739 2,679
Tooth Extraction $56.98 2,170 1,216
Root Canal $97.82 63 31

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