Based on public Medicaid payment data.
Kevin Park
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
104 W 7Th St
Los Angeles, CA 900141906
Phone
6262155810
NPI
1295102317
Procedures
1
Total Claims
14
Patients Served
14
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 | $88.21 | 14 | 14 |
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