Based on public Medicaid payment data.
Shailesh Manharlal Butala
Medicaid Provider in Pomona, CA
Type
Individual Provider
Address
744 E Holt Ave
Pomona, CA 917675601
Phone
9094692230
NPI
1689820128
Procedures
1
Total Claims
437
Patients Served
437
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 | $63.56 | 437 | 437 |
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