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Based on public Medicaid payment data.

Elizabeth Ann Vantassell

Medicaid Provider in Petaluma, CA

Type

Individual Provider

Address

135 Keller St

Petaluma, CA 949522943

Phone

7077786006

NPI

1467443010

Procedures

1

Total Claims

12

Patients Served

12

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 $66.00 12 12

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