Based on public Medicaid payment data.
George D. Lim
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
11725 W Washington Blvd
Los Angeles, CA 900665917
Phone
3103917173
NPI
1053526129
Procedures
4
Total Claims
19.8K
Patients Served
18.2K
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 | $55.98 | 16,233 | 16,207 |
| Dental Filling | $61.78 | 2,683 | 1,442 |
| Dental Crown | $474.24 | 812 | 454 |
| Tooth Extraction | $96.55 | 79 | 50 |
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