Based on public Medicaid payment data.
Khanh Ly
Medicaid Provider in El Monte, CA
Type
Individual Provider
Address
3351 Tyler Ave
El Monte, CA 917313101
Phone
6262795371
NPI
1528279718
Procedures
3
Total Claims
93
Patients Served
84
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 | $59.10 | 59 | 59 |
| Dental Filling | $67.20 | 19 | 13 |
| Dental Crown | $476.00 | 15 | 12 |
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