Based on public Medicaid payment data.
Andrea Tatiana Ustarez
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
3945 Whittier Blvd
Los Angeles, CA 900232440
Phone
3233070449
NPI
1881056992
Procedures
4
Total Claims
42.1K
Patients Served
39.7K
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 | $54.60 | 34,156 | 33,975 |
| Dental Filling | $63.40 | 6,090 | 4,308 |
| Tooth Extraction | $56.41 | 1,735 | 1,288 |
| Root Canal | $96.48 | 102 | 93 |
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