Based on public Medicaid payment data.
Holly Moon
Medicaid Provider in Inglewood, CA
Type
Individual Provider
Address
300 E Buckthorn St
Inglewood, CA 903013418
Phone
3105646559
NPI
1780895904
Procedures
1
Total Claims
40
Patients Served
40
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 | $33.04 | 40 | 40 |
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