Based on public Medicaid payment data.
John S Kishibay
Medicaid Provider in Santa Monica, CA
Type
Individual Provider
Address
2601 Ocean Park Blvd
Santa Monica, CA 904055210
Phone
3105815757
NPI
1255425609
Procedures
1
Total Claims
28
Patients Served
28
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 | $32.50 | 28 | 28 |
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