Based on public Medicaid payment data.
Renard Ruigi Anatalio Macasaet
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
514 S Alvarado St
Los Angeles, CA 900572904
Phone
7149093067
NPI
1912754748
Procedures
3
Total Claims
939
Patients Served
853
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 | $49.23 | 700 | 700 |
| Dental Filling | $61.73 | 221 | 140 |
| Tooth Extraction | $57.40 | 18 | 13 |
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