Based on public Medicaid payment data.
Xiaoyu Lu
Medicaid Provider in Rosemead, CA
Type
Individual Provider
Address
3925 Rosemead Blvd Ste 202
Rosemead, CA 917701933
Phone
6267575998
NPI
1932394475
Procedures
5
Total Claims
10.7K
Patients Served
9.5K
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 | $57.09 | 5,233 | 5,202 |
| Tooth Extraction | $95.68 | 2,528 | 1,756 |
| Root Canal | $437.77 | 1,870 | 1,728 |
| Dental Crown | $475.66 | 709 | 556 |
| Dental Filling | $63.95 | 332 | 220 |
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