Based on public Medicaid payment data.
Hassan M Fayoumi
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
8615 S Broadway
Los Angeles, CA 90003
Phone
3237523116
NPI
1831269489
Procedures
5
Total Claims
24.2K
Patients Served
17K
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 Filling | $65.16 | 9,327 | 4,500 |
| Dental Cleaning & Exam | $54.54 | 8,157 | 8,136 |
| Tooth Extraction | $88.76 | 2,445 | 1,182 |
| Dental Crown | $472.66 | 2,359 | 1,521 |
| Root Canal | $424.01 | 1,891 | 1,618 |
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