Based on public Medicaid payment data.
Maurissa Lester
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
10833 Le Conte Ave
Los Angeles, CA 900953075
Phone
3108255619
NPI
1649954025
Procedures
3
Total Claims
2.6K
Patients Served
2.3K
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 | $28.27 | 2,533 | 2,246 |
| Tooth Extraction | $79.82 | 81 | 42 |
| Dental Filling | $110.68 | 23 | 13 |
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