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Based on public Medicaid payment data.

Tiantian He

Medicaid Provider in Los Angeles, CA

Type

Individual Provider

Address

10833 Le Conte Ave

Los Angeles, CA 900953075

Phone

3108250834

NPI

1881365492

Procedures

3

Total Claims

1K

Patients Served

459

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
Tooth Extraction $122.68 983 417
Dental Cleaning & Exam $66.00 30 30
Root Canal $463.40 13 12

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