Based on public Medicaid payment data.
Peter Pham
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
1257 Brockton Ave Unit 101
Los Angeles, CA 900257724
Phone
3104868500
NPI
1114084597
Procedures
3
Total Claims
2.6K
Patients Served
2.6K
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 | $70.29 | 2,585 | 2,579 |
| Dental Filling | $67.20 | 40 | 25 |
| Dental Crown | $476.00 | 14 | 12 |
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