Based on public Medicaid payment data.
Sergio G. Ocampo
Medicaid Provider in La Mirada, CA
Type
Individual Provider
Address
15769 Imperial Hwy
La Mirada, CA 906382510
Phone
5629029898
NPI
1063503993
Procedures
2
Total Claims
153
Patients Served
147
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 | $62.46 | 134 | 134 |
| Dental Crown | $462.32 | 19 | 13 |
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