Based on public Medicaid payment data.
Sara Selina Mouzi-Escobedo
Medicaid Provider in Atlanta, GA
Type
Individual Provider
Address
955 Memorial Dr Se Ste 534
Atlanta, GA 303161566
Phone
0483645954
NPI
1336451467
Procedures
2
Total Claims
619
Patients Served
529
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 | $27.91 | 474 | 472 |
| Dental Filling | $66.02 | 145 | 57 |
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