Based on public Medicaid payment data.
Natalia Lee
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
1122 W 6Th St # 107
Los Angeles, CA 90017
Phone
2132740650
NPI
1154665388
Procedures
5
Total Claims
3.9K
Patients Served
3.3K
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 | $76.58 | 2,658 | 2,641 |
| Dental Filling | $72.49 | 947 | 434 |
| Dental Crown | $473.45 | 187 | 142 |
| Root Canal | $63.00 | 78 | 55 |
| Tooth Extraction | $116.84 | 55 | 24 |
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