Based on public Medicaid payment data.
Quinn Montgomery
Medicaid Provider in Hollister, CA
Type
Individual Provider
Address
351 Felice Dr
Hollister, CA 950233361
Phone
8316375306
NPI
1588912737
Procedures
4
Total Claims
5.2K
Patients Served
4.2K
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 | $33.70 | 3,473 | 3,435 |
| Dental Crown | $668.76 | 846 | 379 |
| Dental Filling | $135.81 | 680 | 324 |
| Tooth Extraction | $159.00 | 192 | 93 |
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