Based on public Medicaid payment data.
Rupen Derboghosian Itutmazian
Medicaid Provider in Van Nuys, CA
Type
Individual Provider
Address
6812 Woodman Ave
Van Nuys, CA 914054208
Phone
8183503451
NPI
1699831065
Procedures
2
Total Claims
1.2K
Patients Served
1K
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 | $35.62 | 953 | 948 |
| Dental Filling | $67.12 | 206 | 97 |
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