Based on public Medicaid payment data.
Jennifer Villalta
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
12555 W Jefferson Blvd Ste 210
Los Angeles, CA 900667032
Phone
3104391751
NPI
1952841389
Procedures
3
Total Claims
1.9K
Patients Served
1.8K
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 | $39.33 | 1,721 | 1,712 |
| Dental Filling | $66.00 | 182 | 86 |
| Root Canal | $79.11 | 25 | 15 |
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