Based on public Medicaid payment data.
Faramarz Edalatpajouh
Medicaid Provider in Losangeles, CA
Type
Individual Provider
Address
8704 West Pico Blvd
Losangeles, CA 90035
Phone
3108546565
NPI
1447527569
Procedures
2
Total Claims
496
Patients Served
482
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 | $56.36 | 470 | 467 |
| Dental Crown | $476.00 | 26 | 15 |
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