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Based on public Medicaid payment data.

Ryan B Pham

Medicaid Provider in Los Angeles, CA

Type

Individual Provider

Address

4046 Abourne Rd Apt B

Los Angeles, CA 900083244

Phone

7142258538

NPI

1639955248

Procedures

4

Total Claims

1.9K

Patients Served

1.5K

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 $63.16 1,091 737
Dental Cleaning & Exam $80.41 660 660
Tooth Extraction $56.64 152 102
Root Canal $99.40 12 12

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