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Based on public Medicaid payment data.

David Tabata

Medicaid Provider in La Verne, CA

Type

Individual Provider

Address

1413 Foothill Blvd Ste B

La Verne, CA 917503418

Phone

9095961831

NPI

1831561836

Procedures

1

Total Claims

12

Patients Served

12

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 $35.00 12 12

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