Based on public Medicaid payment data.
Aldwin Philip Lumanlan
Medicaid Provider in San Pedro, CA
Type
Individual Provider
Address
946 N Western Ave
San Pedro, CA 907322427
Phone
3108310735
NPI
1073705364
Procedures
4
Total Claims
7.7K
Patients Served
5.7K
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 | $66.50 | 3,881 | 3,843 |
| Dental Filling | $61.65 | 3,228 | 1,394 |
| Dental Crown | $471.51 | 618 | 482 |
| Tooth Extraction | $57.40 | 16 | 12 |
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