Based on public Medicaid payment data.
Jonathan Dye
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
1626 Palo Alto St Apt 102
Los Angeles, CA 900265052
Phone
8086346293
NPI
1518504497
Procedures
4
Total Claims
1.6K
Patients Served
1.2K
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 Crown | $475.52 | 1,002 | 808 |
| Dental Filling | $59.31 | 282 | 201 |
| Dental Cleaning & Exam | $48.60 | 186 | 163 |
| Tooth Extraction | $56.88 | 110 | 50 |
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