Based on public Medicaid payment data.
Nanette Divinagracia Baird
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
1159 Logan St
Los Angeles, CA 90026
Phone
2134838164
NPI
1407985112
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 | $90.00 | 13 | 13 |
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