Based on public Medicaid payment data.
Nhu Thao Lisa Pham
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
949 W Adams Blvd Apt 19
Los Angeles, CA 900077203
Phone
9253218661
NPI
1639694045
Procedures
4
Total Claims
4.3K
Patients Served
4K
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 | $29.56 | 3,675 | 3,589 |
| Dental Filling | $63.47 | 451 | 276 |
| Tooth Extraction | $55.36 | 197 | 125 |
| Root Canal | $99.40 | 19 | 15 |
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