Based on public Medicaid payment data.
Marlice Arcangel Patam
Medicaid Provider in South Pasadena, CA
Type
Individual Provider
Address
1115 Montrose Ave
South Pasadena, CA 910303435
Phone
6263944946
NPI
1730203712
Procedures
1
Total Claims
60
Patients Served
37
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 |
|---|---|---|---|
| Tooth Extraction | $119.00 | 60 | 37 |
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