Based on public Medicaid payment data.
Randall Eugene Niederkohr
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
321 N Larchmont Blvd
Los Angeles, CA 90004
Phone
3234638322
NPI
1023118072
Procedures
5
Total Claims
31.7K
Patients Served
25.8K
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 | $29.43 | 27,567 | 23,825 |
| Dental Filling | $54.85 | 2,792 | 1,383 |
| Tooth Extraction | $62.86 | 1,244 | 555 |
| Anesthesia Services | $0.00 | 42 | 39 |
| Prescription Medications | $0.00 | 27 | 25 |
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