Based on public Medicaid payment data.
Enrique Tamayo
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
4400 S Broadway Ste 103
Los Angeles, CA 900372792
Phone
3232339400
NPI
1811033699
Procedures
4
Total Claims
12.6K
Patients Served
8.6K
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 | $52.80 | 5,275 | 5,237 |
| Dental Filling | $61.50 | 4,650 | 2,343 |
| Root Canal | $98.90 | 1,403 | 441 |
| Tooth Extraction | $57.26 | 1,244 | 565 |
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