Based on public Medicaid payment data.
Chelsea Misha Director
Medicaid Provider in Pasadena, CA
Type
Individual Provider
Address
370 S Oakland Ave
Pasadena, CA 911013335
Phone
3102661542
NPI
1942936877
Procedures
3
Total Claims
2.4K
Patients Served
2K
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 | $61.82 | 1,226 | 1,226 |
| Dental Filling | $61.19 | 992 | 670 |
| Tooth Extraction | $53.65 | 177 | 129 |
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