Based on public Medicaid payment data.
Theo W Setia
Medicaid Provider in Monrovia, CA
Type
Individual Provider
Address
322 W Huntington Dr
Monrovia, CA 910163304
Phone
6263035995
NPI
1821137969
Procedures
2
Total Claims
490
Patients Served
472
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 | $52.94 | 472 | 459 |
| Dental Filling | $67.20 | 18 | 13 |
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