Based on public Medicaid payment data.
Brandon Gibson
Medicaid Provider in Playa Vista, CA
Type
Individual Provider
Address
13020 Pacific Promenade Unit 315
Playa Vista, CA 900944019
Phone
2019884541
NPI
1689381493
Procedures
2
Total Claims
749
Patients Served
658
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 | $31.82 | 648 | 605 |
| Tooth Extraction | $0.00 | 101 | 53 |
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