Based on public Medicaid payment data.
Simon M Imanuel
Medicaid Provider in Arleta, CA
Type
Individual Provider
Address
9700 Woodman Ave Ste A28
Arleta, CA 913318058
Phone
8188999999
NPI
1659573335
Procedures
3
Total Claims
9.2K
Patients Served
8.7K
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 | $54.23 | 8,330 | 8,273 |
| Dental Filling | $65.85 | 783 | 406 |
| Tooth Extraction | $119.00 | 74 | 37 |
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