Based on public Medicaid payment data.
Kiatkachorn Ratanatharathorn
Medicaid Provider in West Covina, CA
Type
Individual Provider
Address
2420 S Azusa Ave
West Covina, CA 917921512
Phone
6268102691
NPI
1750867487
Procedures
2
Total Claims
2.6K
Patients Served
2.2K
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 | $60.63 | 1,779 | 1,776 |
| Dental Filling | $60.29 | 777 | 399 |
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