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Based on public Medicaid payment data.

Nicole C Nguyen

Medicaid Provider in South Pasadena, CA

Type

Individual Provider

Address

292 Saint Albans Ave

South Pasadena, CA 910303516

Phone

6263547880

NPI

1689870446

Procedures

1

Total Claims

14

Patients Served

14

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 $57.50 14 14

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