Based on public Medicaid payment data.
Quang Minh Ngo
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
5300 Santa Monica Blvd Ste 401
Los Angeles, CA 900291260
Phone
3239579227
NPI
1790300267
Procedures
3
Total Claims
365
Patients Served
220
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 Filling | $64.26 | 207 | 69 |
| Dental Cleaning & Exam | $86.28 | 138 | 138 |
| Dental Crown | $476.00 | 20 | 13 |
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