Based on public Medicaid payment data.
Patricia Denise Nolan
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
4221 E Cesar E Chavez Ave
Los Angeles, CA 900633417
Phone
8773604464
NPI
1184815276
Procedures
4
Total Claims
39.2K
Patients Served
34K
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 | $46.35 | 27,304 | 27,163 |
| Dental Filling | $63.52 | 9,244 | 5,188 |
| Tooth Extraction | $56.92 | 1,929 | 1,238 |
| Root Canal | $99.40 | 761 | 374 |
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