Based on public Medicaid payment data.
Harmik Derhartounian
Medicaid Provider in Montebello, CA
Type
Individual Provider
Address
111 S Garfield Ave Ste 101
Montebello, CA 906403806
Phone
3237256797
NPI
1487837803
Procedures
3
Total Claims
7.8K
Patients Served
4.7K
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 | $57.14 | 4,621 | 1,635 |
| Dental Cleaning & Exam | $59.39 | 3,074 | 3,041 |
| Tooth Extraction | $95.48 | 59 | 28 |
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