Based on public Medicaid payment data.
Bryant Anthony Irawan
Medicaid Provider in Pinole, CA
Type
Individual Provider
Address
2643 Appian Way Ste B
Pinole, CA 945642253
Phone
5107580900
NPI
1942862735
Procedures
2
Total Claims
2.2K
Patients Served
2.2K
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 | $60.50 | 2,161 | 2,160 |
| Dental Filling | $54.60 | 70 | 53 |
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