Based on public Medicaid payment data.
Catalina Manuela Medencevic
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
1655 Selby Ave Apt 302
Los Angeles, CA 900245753
Phone
3109754784
NPI
1669517009
Procedures
3
Total Claims
3.3K
Patients Served
2.7K
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 | $70.21 | 2,088 | 2,088 |
| Dental Filling | $62.79 | 660 | 289 |
| Dental Crown | $474.68 | 542 | 323 |
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