Based on public Medicaid payment data.
Sum Li
Medicaid Provider in Alhambra, CA
Type
Individual Provider
Address
2311 W Valley Blvd
Alhambra, CA 918031931
Phone
6262813867
NPI
1598955874
Procedures
2
Total Claims
485
Patients Served
467
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 | $80.04 | 462 | 455 |
| Tooth Extraction | $107.13 | 23 | 12 |
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