Based on public Medicaid payment data.
Idin Zhalehdoust Sani
Medicaid Provider in Bonney Lake, WA
Type
Individual Provider
Address
18008 State Route 410 E Ste B
Bonney Lake, WA 983917113
Phone
2538265000
NPI
1720447865
Procedures
4
Total Claims
48.8K
Patients Served
41.4K
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 | $26.60 | 35,582 | 32,847 |
| Dental Filling | $67.00 | 11,219 | 7,464 |
| Tooth Extraction | $53.92 | 1,947 | 1,069 |
| Root Canal | $99.89 | 87 | 40 |
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