Based on public Medicaid payment data.
Louis Moon
Medicaid Provider in Irvine, CA
Type
Individual Provider
Address
14130 Culver Dr Ste C
Irvine, CA 926040321
Phone
9496538888
NPI
1982070207
Procedures
5
Total Claims
21.9K
Patients Served
18.5K
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 | $48.09 | 14,183 | 14,128 |
| Dental Filling | $70.19 | 6,427 | 3,458 |
| Dental Crown | $474.80 | 953 | 637 |
| Root Canal | $398.48 | 314 | 245 |
| Tooth Extraction | $53.13 | 37 | 25 |
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