Based on public Medicaid payment data.
Jessica Lynn Manske
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
445 N Alfred St
Los Angeles, CA 900482504
Phone
4243549336
NPI
1083926323
Procedures
4
Total Claims
27.2K
Patients Served
25K
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 | $38.86 | 22,467 | 22,420 |
| Dental Filling | $63.60 | 3,771 | 2,051 |
| Tooth Extraction | $57.10 | 897 | 513 |
| Root Canal | $99.40 | 100 | 59 |
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