Based on public Medicaid payment data.
Macy Pour
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
11767 W Sunset Blvd Apt 104
Los Angeles, CA 900492991
Phone
3109068972
NPI
1457087579
Procedures
1
Total Claims
13
Patients Served
13
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 | $66.00 | 13 | 13 |
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