Based on public Medicaid payment data.
Rafael Teovaldo Pou
Medicaid Provider in La Habra, CA
Type
Individual Provider
Address
545 W La Habra Blvd
La Habra, CA 906315307
Phone
7145507172
NPI
1396102190
Procedures
2
Total Claims
543
Patients Served
373
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 Filling | $60.93 | 300 | 130 |
| Dental Cleaning & Exam | $64.85 | 243 | 243 |
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