Based on public Medicaid payment data.
Carolina Castaneda
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
4560 E Cesar E Chavez Ave
Los Angeles, CA 900221117
Phone
3237800223
NPI
1770625337
Procedures
3
Total Claims
945
Patients Served
847
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 | $24.66 | 783 | 737 |
| Dental Filling | $39.83 | 142 | 98 |
| Tooth Extraction | $2.25 | 20 | 12 |
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