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Based on public Medicaid payment data.

Golshan Mortezaiefard

Medicaid Provider in Canoga Park, CA

Type

Individual Provider

Address

22110 Roscoe Blvd

Canoga Park, CA 91304

Phone

8188884004

NPI

1790864882

Procedures

2

Total Claims

1.7K

Patients Served

1.7K

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 $47.53 1,568 1,554
Dental Filling $74.60 175 124

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