Based on public Medicaid payment data.
Olga Antipova
Medicaid Provider in Santa Rosa, CA
Type
Individual Provider
Address
140 Stony Point Rd Ste A
Santa Rosa, CA 954014121
Phone
7075783118
NPI
1396099115
Procedures
3
Total Claims
7.4K
Patients Served
6K
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 | $71.15 | 4,796 | 4,754 |
| Tooth Extraction | $117.39 | 2,111 | 954 |
| Dental Filling | $68.83 | 474 | 286 |
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