Based on public Medicaid payment data.
Larisa Theodorou
Medicaid Provider in Canoga Park, CA
Type
Individual Provider
Address
19717 Sherman Way
Canoga Park, CA 91306
Phone
8187090090
NPI
1255534293
Procedures
2
Total Claims
7K
Patients Served
6.9K
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 | $59.01 | 6,786 | 6,756 |
| Dental Filling | $57.83 | 247 | 142 |
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