Based on public Medicaid payment data.
Farzad Kohanbash
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
1720 S Western Ave
Los Angeles, CA 900065804
Phone
3237330570
NPI
1992914675
Procedures
5
Total Claims
9.4K
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 | $57.03 | 6,900 | 6,875 |
| Dental Filling | $66.24 | 1,741 | 1,134 |
| Dental Crown | $473.30 | 529 | 414 |
| Tooth Extraction | $116.19 | 127 | 94 |
| Root Canal | $438.90 | 56 | 51 |
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