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Based on public Medicaid payment data.

Alex David Penhasian

Medicaid Provider in West Covina, CA

Type

Individual Provider

Address

2233 E Garvey Ave N Ste B

West Covina, CA 917911500

Phone

6268692160

NPI

1225600158

Procedures

4

Total Claims

25.3K

Patients Served

19.1K

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 $59.22 11,460 11,398
Dental Filling $61.40 7,635 4,367
Tooth Extraction $56.36 4,081 2,270
Root Canal $97.63 2,104 1,076

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