Based on public Medicaid payment data.
Rafat M Mansour
Medicaid Provider in Albuquerque, NM
Type
Individual Provider
Address
1010 Bridge Blvd Sw
Albuquerque, NM 871053765
Phone
5058770435
NPI
1194715011
Procedures
2
Total Claims
270
Patients Served
257
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 | $33.87 | 245 | 244 |
| Dental Filling | $74.53 | 25 | 13 |
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