Based on public Medicaid payment data.
Ivane Le-Nguyen
Medicaid Provider in Midway City, CA
Type
Individual Provider
Address
8181 Bolsa Ave
Midway City, CA 926551223
Phone
7146988181
NPI
1821455668
Procedures
3
Total Claims
985
Patients Served
955
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 | $37.96 | 866 | 865 |
| Dental Filling | $64.49 | 104 | 77 |
| Tooth Extraction | $57.40 | 15 | 13 |
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