Based on public Medicaid payment data.
Rizza Aurica Mindanao Bejasa
Medicaid Provider in Pasadena, CA
Type
Individual Provider
Address
310 S Lake Ave Ste B1
Pasadena, CA 911013540
Phone
6266693141
NPI
1811498991
Procedures
4
Total Claims
5.6K
Patients Served
4.9K
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 | $53.22 | 3,832 | 3,817 |
| Dental Filling | $62.89 | 1,235 | 709 |
| Tooth Extraction | $58.03 | 539 | 323 |
| Root Canal | $99.40 | 19 | 12 |
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