Based on public Medicaid payment data.
Matthew Tabanfar
Medicaid Provider in West Covina, CA
Type
Individual Provider
Address
2225 E Garvey Ave N
West Covina, CA 917911500
Phone
6264120200
NPI
1760044366
Procedures
4
Total Claims
12K
Patients Served
9.5K
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 | $47.45 | 6,301 | 6,287 |
| Dental Filling | $58.88 | 3,901 | 2,161 |
| Tooth Extraction | $56.41 | 1,417 | 830 |
| Root Canal | $98.97 | 356 | 260 |
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