Based on public Medicaid payment data.
Winnie Tan
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
2621 E 1St St
Los Angeles, CA 900333505
Phone
3232689386
NPI
1730229832
Procedures
2
Total Claims
504
Patients Served
314
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 | $1.96 | 484 | 301 |
| Dental Filling | $2.25 | 20 | 13 |
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