Based on public Medicaid payment data.
Vahan Grigoryan
Medicaid Provider in Upland, CA
Type
Individual Provider
Address
536 E Foothill Blvd
Upland, CA 917863955
Phone
9092918625
NPI
1235211541
Procedures
3
Total Claims
3.9K
Patients Served
3.6K
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 | $57.94 | 3,334 | 3,316 |
| Dental Filling | $63.42 | 422 | 196 |
| Dental Crown | $473.80 | 108 | 81 |
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