Based on public Medicaid payment data.
Xiao Xi Yu
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
3134 Ivy St
Los Angeles, CA 900343213
Phone
4156836626
NPI
1396254124
Procedures
3
Total Claims
1.2K
Patients Served
1.1K
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 | $29.94 | 1,068 | 1,042 |
| Dental Filling | $52.41 | 72 | 49 |
| Tooth Extraction | $39.12 | 28 | 15 |
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