Based on public Medicaid payment data.
Fariba Salehani
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
998 S Robertson Blvd
Los Angeles, CA 900351637
Phone
3103581200
NPI
1194944769
Procedures
2
Total Claims
211
Patients Served
189
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 | $65.32 | 166 | 165 |
| Dental Crown | $465.42 | 45 | 24 |
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