Based on public Medicaid payment data.
Kongsab La Hatlavongsa
Medicaid Provider in Mendota, CA
Type
Individual Provider
Address
121 Barboza St
Mendota, CA 936401901
Phone
5596555000
NPI
1366798530
Procedures
2
Total Claims
979
Patients Served
960
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 | $0.00 | 914 | 911 |
| Dental Filling | $0.00 | 65 | 49 |
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