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Based on public Medicaid payment data.

Ebi Donavan Nikjoo

Medicaid Provider in Los Angeles, CA

Type

Individual Provider

Address

833 S Bedford St Apt 102

Los Angeles, CA 900351880

Phone

3106665807

NPI

1366603425

Procedures

3

Total Claims

4K

Patients Served

3.6K

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 $54.02 3,237 3,172
Dental Filling $62.62 782 388
Tooth Extraction $94.78 20 12

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