Based on public Medicaid payment data.
Arturo Ibarra
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
2407 N Broadway Ave.
Los Angeles, CA 900312218
Phone
3232213165
NPI
1386787976
Procedures
3
Total Claims
659
Patients Served
614
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 | $46.53 | 578 | 576 |
| Dental Filling | $64.34 | 47 | 26 |
| Tooth Extraction | $115.50 | 34 | 12 |
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