Based on public Medicaid payment data.
Mher Grigoryan
Medicaid Provider in Pasadena, CA
Type
Individual Provider
Address
2036 Lincoln Ave
Pasadena, CA 911031323
Phone
6267976555
NPI
1730169392
Procedures
5
Total Claims
20.9K
Patients Served
16.4K
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 | $54.84 | 10,344 | 10,313 |
| Dental Filling | $72.60 | 8,408 | 4,692 |
| Tooth Extraction | $64.04 | 1,439 | 817 |
| Root Canal | $62.02 | 419 | 325 |
| Dental Crown | $476.00 | 252 | 203 |
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