Based on public Medicaid payment data.
Victoria Mouradian
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
4905 Hollywood Blvd
Los Angeles, CA 900276101
Phone
3234619942
NPI
1659710432
Procedures
4
Total Claims
23.6K
Patients Served
20.5K
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 | $42.55 | 16,681 | 16,613 |
| Dental Filling | $60.32 | 3,770 | 2,137 |
| Tooth Extraction | $56.71 | 1,758 | 1,159 |
| Root Canal | $95.33 | 1,343 | 548 |
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