Based on public Medicaid payment data.
Shahram Ameripour
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
11775 Santa Monica Blvd
Los Angeles, CA 900252843
Phone
3104441818
NPI
1669517363
Procedures
4
Total Claims
31.1K
Patients Served
26.9K
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 | $54.45 | 19,831 | 19,733 |
| Dental Filling | $58.80 | 5,845 | 3,906 |
| Tooth Extraction | $81.19 | 5,259 | 3,074 |
| Dental Crown | $473.17 | 210 | 187 |
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