Based on public Medicaid payment data.
Aundrea Goodman
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
714 Tiverton Ave
Los Angeles, CA 900958361
Phone
5016125843
NPI
1972237501
Procedures
3
Total Claims
971
Patients Served
894
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 | $53.40 | 714 | 714 |
| Dental Filling | $63.00 | 222 | 154 |
| Tooth Extraction | $57.40 | 35 | 26 |
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