Based on public Medicaid payment data.
Timothy Steven Moy
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
420 Ord St
Los Angeles, CA 90012
Phone
2136170136
NPI
1427260066
Procedures
2
Total Claims
253
Patients Served
248
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 | $54.02 | 235 | 235 |
| Dental Filling | $63.47 | 18 | 13 |
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