Based on public Medicaid payment data.
Khanhlam Kim Phan
Medicaid Provider in Montebello, CA
Type
Individual Provider
Address
137 N Montebello Blvd
Montebello, CA 906404797
Phone
4255057263
NPI
1558343715
Procedures
4
Total Claims
13.1K
Patients Served
10.4K
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 | $27.91 | 8,380 | 8,197 |
| Dental Filling | $61.93 | 4,026 | 1,862 |
| Tooth Extraction | $56.75 | 639 | 330 |
| Root Canal | $74.97 | 73 | 39 |
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