Based on public Medicaid payment data.
Phi Kim Tran
Medicaid Provider in San Gabriel, CA
Type
Individual Provider
Address
844 E Valley Blvd
San Gabriel, CA 91776
Phone
6263071064
NPI
1811041650
Procedures
2
Total Claims
178
Patients Served
166
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 | $73.08 | 154 | 154 |
| Dental Filling | $77.00 | 24 | 12 |
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