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Based on public Medicaid payment data.

Emiliia Mgdveladze

Medicaid Provider in Santa Maria, CA

Type

Individual Provider

Address

2205 S Broadway Ofc 122

Santa Maria, CA 934547813

Phone

8058639430

NPI

1922705029

Procedures

2

Total Claims

2.6K

Patients Served

2.2K

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 Filling $61.68 1,346 987
Dental Cleaning & Exam $62.38 1,218 1,218

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