Based on public Medicaid payment data.
Mher Asatryan
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
1565 S Western Ave
Los Angeles, CA 900064233
Phone
3237348843
NPI
1609081132
Procedures
4
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 | $75.49 | 1,878 | 1,856 |
| Dental Crown | $476.00 | 368 | 229 |
| Dental Filling | $67.04 | 258 | 153 |
| Tooth Extraction | $119.00 | 49 | 25 |
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