Based on public Medicaid payment data.
Farrah Koutchek-Spero
Medicaid Provider in Commerce, CA
Type
Individual Provider
Address
500 Citadel Dr Ste 190
Commerce, CA 900401587
Phone
3237256700
NPI
1912145871
Procedures
2
Total Claims
176
Patients Served
96
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 Crown | $476.00 | 163 | 83 |
| Dental Cleaning & Exam | $90.00 | 13 | 13 |
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