Based on public Medicaid payment data.
Larissa Gushansky, Dds Inc.
Medicaid Provider in Pomona, CA
Type
Organization
Address
887 E 2Nd St Ste D
Pomona, CA 917662009
Phone
9098658595
NPI
1013102029
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 | $0.00 | 12 | 12 |
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