Based on public Medicaid payment data.
Peter Anthony Balacky
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
321 N Larchmont Blvd Ste 613
Los Angeles, CA 900043051
Phone
3234656451
NPI
1164881926
Procedures
1
Total Claims
32
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 |
|---|---|---|---|
| Tooth Extraction | $119.00 | 32 | 13 |
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