Based on public Medicaid payment data.
Thanh M Le
Medicaid Provider in Garden Grove, CA
Type
Individual Provider
Address
12872 Harbor Blvd
Garden Grove, CA 928405807
Phone
7146388273
NPI
1881780096
Procedures
5
Total Claims
9.9K
Patients Served
9.4K
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 | $56.97 | 8,774 | 8,749 |
| Tooth Extraction | $115.28 | 384 | 202 |
| Dental Filling | $68.96 | 336 | 170 |
| Dental Crown | $476.00 | 306 | 198 |
| Root Canal | $463.40 | 79 | 70 |
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