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Based on public Medicaid payment data.

Lida Mohaghegh Davani

Medicaid Provider in Los Angeles, CA

Type

Individual Provider

Address

8540 S Sepulveda Blvd Ste 815

Los Angeles, CA 900453808

Phone

3104109470

NPI

1437206331

Procedures

5

Total Claims

4.1K

Patients Served

3.6K

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 $50.98 2,789 2,782
Dental Filling $69.90 1,029 593
Dental Crown $470.20 252 190
Tooth Extraction $119.00 17 13
Root Canal $462.47 14 13

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