Based on public Medicaid payment data.
Jwan Kotrush
Medicaid Provider in Anaheim, CA
Type
Individual Provider
Address
842 S Brookhurst St
Anaheim, CA 928044303
Phone
7146353585
NPI
1821062829
Procedures
4
Total Claims
918
Patients Served
875
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 | $72.87 | 825 | 825 |
| Dental Filling | $67.20 | 58 | 26 |
| Tooth Extraction | $119.00 | 20 | 12 |
| Dental Crown | $476.00 | 15 | 12 |
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