Based on public Medicaid payment data.
Xiaoxu Liu
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
687 S Hobart Blvd Apt 539
Los Angeles, CA 900054240
Phone
3107218039
NPI
1487225264
Procedures
5
Total Claims
6.1K
Patients Served
4.5K
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 | $65.47 | 2,830 | 2,830 |
| Dental Filling | $72.24 | 2,746 | 1,364 |
| Tooth Extraction | $59.74 | 344 | 179 |
| Dental Crown | $476.00 | 120 | 96 |
| Root Canal | $369.48 | 36 | 26 |
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