Based on public Medicaid payment data.
Larysa Shulzhenko
Medicaid Provider in Pacoima, CA
Type
Individual Provider
Address
10975 Glenoaks Blvd
Pacoima, CA 913311632
Phone
8188909990
NPI
1225238462
Procedures
2
Total Claims
89
Patients Served
71
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 | $65.17 | 58 | 56 |
| Dental Crown | $476.00 | 31 | 15 |
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