Based on public Medicaid payment data.
Kelly Cox
Medicaid Provider in Culver City, CA
Type
Individual Provider
Address
10808 Washington Blvd Ste B
Culver City, CA 902323679
Phone
3103517527
NPI
1295341394
Procedures
4
Total Claims
6.2K
Patients Served
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 | $64.43 | 3,027 | 3,027 |
| Dental Filling | $63.56 | 2,866 | 1,807 |
| Tooth Extraction | $56.81 | 340 | 142 |
| Dental Crown | $476.00 | 14 | 13 |
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