Based on public Medicaid payment data.
Rafael Gurvis
Medicaid Provider in Pacific Palisades, CA
Type
Individual Provider
Address
648 Jacon Way
Pacific Palisades, CA 902722827
Phone
3106998354
NPI
1487732046
Procedures
2
Total Claims
255
Patients Served
240
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 | $64.23 | 201 | 201 |
| Dental Filling | $61.83 | 54 | 39 |
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