Based on public Medicaid payment data.
Raymond J Mazuchowski
Medicaid Provider in San Pedro, CA
Type
Individual Provider
Address
697 S Gaffery St
San Pedro, CA 90731
Phone
3109253477
NPI
1255875944
Procedures
3
Total Claims
10.5K
Patients Served
8.8K
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 | $36.43 | 6,994 | 6,845 |
| Tooth Extraction | $127.29 | 2,170 | 1,099 |
| Dental Filling | $79.96 | 1,296 | 894 |
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