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Based on public Medicaid payment data.

Mark Howard Davis

Medicaid Provider in Los Angeles, CA

Type

Individual Provider

Address

1414 S Grand Ave

Los Angeles, CA 900153076

Phone

2137441752

NPI

1306839162

Procedures

3

Total Claims

855

Patients Served

804

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 $69.26 563 561
Dental Filling $65.20 275 229
Tooth Extraction $57.40 17 14

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