Based on public Medicaid payment data.
Ali Ghavibonihe
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
1835 S La Cienega Blvd
Los Angeles, CA 900354600
Phone
3108360300
NPI
1376764001
Procedures
5
Total Claims
14.3K
Patients Served
12.9K
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 | $50.77 | 10,101 | 10,073 |
| Dental Filling | $69.51 | 3,365 | 2,184 |
| Tooth Extraction | $93.19 | 794 | 550 |
| Dental Crown | $474.28 | 69 | 56 |
| Root Canal | $63.00 | 15 | 14 |
Patient Experiences
No patient experiences shared yet. Be the first to share yours.
Share Your Experience
Share your experience with this provider. Focus on the process, billing, wait time, or outcome. Do not share exact prices.
See something wrong on this page?
Report an error