Based on public Medicaid payment data.
Roxana April Salem
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
10655 Wilshire Blvd Apt 405
Los Angeles, CA 900244546
Phone
3103497182
NPI
1316394257
Procedures
2
Total Claims
2.3K
Patients Served
2.3K
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 | $55.20 | 2,248 | 2,246 |
| Dental Filling | $67.20 | 23 | 12 |
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