Based on public Medicaid payment data.
Kasun Rajapksha
Medicaid Provider in South Gate, CA
Type
Individual Provider
Address
3175 Firestone Blvd
South Gate, CA 902803595
Phone
3234841020
NPI
1376919068
Procedures
4
Total Claims
22K
Patients Served
20.1K
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 | $62.18 | 18,627 | 18,486 |
| Dental Filling | $57.65 | 2,747 | 1,277 |
| Tooth Extraction | $56.71 | 597 | 326 |
| Root Canal | $99.40 | 63 | 16 |
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