Based on public Medicaid payment data.
Kevin La
Medicaid Provider in Fullerton, CA
Type
Individual Provider
Address
1401 S Brookhurst Rd Ste 104
Fullerton, CA 928334403
Phone
7148792828
NPI
1396885349
Procedures
2
Total Claims
386
Patients Served
309
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 | $21.47 | 282 | 257 |
| Dental Filling | $48.21 | 104 | 52 |
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