Based on public Medicaid payment data.
Larissa Gushansky
Medicaid Provider in South Gate, CA
Type
Individual Provider
Address
3175 Firestone Blvd # 200
South Gate, CA 902802951
Phone
3235639124
NPI
1548478399
Procedures
4
Total Claims
2K
Patients Served
2K
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 | $42.09 | 1,948 | 1,932 |
| Dental Crown | $476.00 | 35 | 25 |
| Dental Filling | $54.98 | 22 | 13 |
| Tooth Extraction | $119.00 | 17 | 13 |
Patient Experiences
No patient experiences shared yet. Be the first to share yours.
Share Your Experience
Share your experience with this provider. Focus on the process, billing, wait time, or outcome. Do not share exact prices.
See something wrong on this page?
Report an error