Based on public Medicaid payment data.
Youram Farzam
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
10394 Rochester Ave
Los Angeles, CA 900245357
Phone
3108003408
NPI
1619646007
Procedures
2
Total Claims
168
Patients Served
160
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 | $67.65 | 146 | 146 |
| Dental Filling | $54.60 | 22 | 14 |
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