Based on public Medicaid payment data.
Sergey Mahtesyan
Medicaid Provider in Burbank, CA
Type
Individual Provider
Address
372 E Olive Ave
Burbank, CA 915021215
Phone
8184505000
NPI
1073887790
Procedures
4
Total Claims
2K
Patients Served
1.8K
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 | $67.78 | 1,647 | 1,636 |
| Tooth Extraction | $55.50 | 121 | 39 |
| Dental Filling | $71.36 | 111 | 64 |
| Dental Crown | $463.14 | 74 | 49 |
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