Based on public Medicaid payment data.
Darmawan Pribadi
Medicaid Provider in Pomona, CA
Type
Individual Provider
Address
1051 South Garey Avenue
Pomona, CA 91766
Phone
9096200600
NPI
1508908534
Procedures
1
Total Claims
780
Patients Served
778
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 | $50.72 | 780 | 778 |
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