Based on public Medicaid payment data.
Rita T Deragobian
Medicaid Provider in Montclair, CA
Type
Individual Provider
Address
9509 Central Ave. Suite # D
Montclair, CA 91763
Phone
9093993330
NPI
1578742953
Procedures
2
Total Claims
334
Patients Served
271
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 | $45.25 | 229 | 229 |
| Dental Filling | $64.56 | 105 | 42 |
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