Based on public Medicaid payment data.
Ankin Deragobian
Medicaid Provider in Loma Linda, CA
Type
Individual Provider
Address
25997 Lawton Ave
Loma Linda, CA 92354
Phone
9097474861
NPI
1467760041
Procedures
5
Total Claims
4K
Patients Served
3.4K
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 | $65.27 | 2,387 | 2,377 |
| Dental Filling | $66.22 | 1,512 | 958 |
| Tooth Extraction | $119.00 | 25 | 13 |
| Dental Crown | $476.00 | 15 | 14 |
| Root Canal | $463.40 | 13 | 12 |
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