Based on public Medicaid payment data.
Jonathan Galvez
Medicaid Provider in Pasadena, CA
Type
Individual Provider
Address
1845 N Fair Oaks Ave
Pasadena, CA 911031620
Phone
5628677999
NPI
1891281085
Procedures
3
Total Claims
357
Patients Served
326
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 | $59.87 | 301 | 301 |
| Dental Filling | $54.86 | 30 | 13 |
| Tooth Extraction | $32.04 | 26 | 12 |
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