Based on public Medicaid payment data.
Richard A. Petty
Medicaid Provider in South Pasadena, CA
Type
Individual Provider
Address
2050 Huntington Dr
South Pasadena, CA 910304900
Phone
6264412255
NPI
1831105105
Procedures
1
Total Claims
154
Patients Served
68
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 | $115.72 | 154 | 68 |
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