Based on public Medicaid payment data.
Kristin M. Moriguchi
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
12211 W Pico Blvd
Los Angeles, CA 900641134
Phone
3108266123
NPI
1831571694
Procedures
2
Total Claims
662
Patients Served
653
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 | $34.47 | 629 | 629 |
| Dental Filling | $60.33 | 33 | 24 |
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