Based on public Medicaid payment data.
Luz Cervando Gutierrez
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
2343 Birkdale St
Los Angeles, CA 900311001
Phone
3232533345
NPI
1619640653
Procedures
2
Total Claims
626
Patients Served
478
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 | $1.35 | 614 | 466 |
| Dental Filling | $0.00 | 12 | 12 |
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