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Based on public Medicaid payment data.

Mario G. Garibotti

Medicaid Provider in Portola, CA

Type

Individual Provider

Address

145 N Pine St

Portola, CA 961228415

Phone

5308324425

NPI

1750481594

Procedures

1

Total Claims

110

Patients Served

110

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 $53.95 110 110

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