Based on public Medicaid payment data.
Hartanto Lawrence Justin
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
3231 N Broadway
Los Angeles, CA 900312801
Phone
3232216090
NPI
1205982311
Procedures
2
Total Claims
2.1K
Patients Served
2.1K
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 | $60.43 | 2,107 | 2,104 |
| Dental Filling | $54.60 | 28 | 13 |
Patient Experiences
No patient experiences shared yet. Be the first to share yours.
Share Your Experience
Share your experience with this provider. Focus on the process, billing, wait time, or outcome. Do not share exact prices.
See something wrong on this page?
Report an error