Based on public Medicaid payment data.
Manijeh Afshar-Ebrahimi
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
133 S Swall Dr
Los Angeles, CA 900483032
Phone
8184257147
NPI
1083933956
Procedures
4
Total Claims
7.4K
Patients Served
6.7K
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 | $59.64 | 5,613 | 5,590 |
| Dental Filling | $58.36 | 1,692 | 1,025 |
| Tooth Extraction | $95.97 | 64 | 38 |
| Dental Crown | $514.86 | 21 | 17 |
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