Based on public Medicaid payment data.
Reza Mahmoudiani
Medicaid Provider in La, CA
Type
Individual Provider
Address
925 West 34Th Street
La, CA 90089
Phone
3104673669
NPI
1841596673
Procedures
3
Total Claims
4K
Patients Served
3.6K
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 | $45.79 | 3,005 | 2,993 |
| Dental Filling | $65.46 | 882 | 532 |
| Tooth Extraction | $86.42 | 136 | 85 |
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