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Based on public Medicaid payment data.

Tony Tian Lian Li

Medicaid Provider in Pasadena, CA

Type

Individual Provider

Address

163 N Marengo Ave

Pasadena, CA 911014509

Phone

5108753243

NPI

1972941292

Procedures

1

Total Claims

179

Patients Served

96

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 $138.45 179 96

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