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Based on public Medicaid payment data.

Teresita Egido Tan

Medicaid Provider in Los Angeles, CA

Type

Individual Provider

Address

244 S Oxford Ave

Los Angeles, CA 90004

Phone

2133821770

NPI

1396835633

Procedures

2

Total Claims

2.5K

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
Office Visit $0.80 2,498 2,297
Vaccines & Immunizations $0.00 12 12

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