Based on public Medicaid payment data.
Max Paul Moncayo
Medicaid Provider in Pacific Palisades, CA
Type
Individual Provider
Address
881 Alma Real Dr Ste T4
Pacific Palisades, CA 902723743
Phone
3104590014
NPI
1588636310
Procedures
1
Total Claims
168
Patients Served
86
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 |
|---|---|---|---|
| Tooth Extraction | $155.00 | 168 | 86 |
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