Based on public Medicaid payment data.
Adriana Rosas Masi
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
1134 S Robertson Blvd Ste 2
Los Angeles, CA 900351404
Phone
3105505888
NPI
1922494517
Procedures
3
Total Claims
774
Patients Served
678
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 | $310.05 | 661 | 613 |
| Tooth Extraction | $57.67 | 60 | 29 |
| Dental Filling | $272.89 | 53 | 36 |
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