Based on public Medicaid payment data.
Amy Iwata
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
3756 Santa Rosalia Drive
Los Angeles, CA 900083656
Phone
3232932600
NPI
1467597377
Procedures
3
Total Claims
5.4K
Patients Served
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 | $45.61 | 4,524 | 4,522 |
| Dental Filling | $65.94 | 445 | 215 |
| Tooth Extraction | $57.27 | 434 | 236 |
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