Based on public Medicaid payment data.
Daniel Bandary
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
6280 W 3Rd St Apt 423
Los Angeles, CA 900367627
Phone
8184300119
NPI
1184251423
Procedures
5
Total Claims
2.9K
Patients Served
2.1K
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 | $67.79 | 1,129 | 1,129 |
| Dental Filling | $63.18 | 808 | 436 |
| Tooth Extraction | $116.32 | 657 | 337 |
| Dental Crown | $474.29 | 278 | 217 |
| Root Canal | $434.44 | 16 | 13 |
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