Based on public Medicaid payment data.
Scott Moon
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
2426 W. 8Th St. #209
Los Angeles, CA 90057
Phone
2133813900
NPI
1851887012
Procedures
4
Total Claims
4.1K
Patients Served
3.3K
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 | $74.04 | 2,761 | 2,754 |
| Dental Filling | $58.16 | 1,260 | 524 |
| Tooth Extraction | $56.10 | 44 | 25 |
| Dental Crown | $476.00 | 23 | 16 |
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