Based on public Medicaid payment data.
Safoura Massoumi
Medicaid Provider in Chula Vista, CA
Type
Individual Provider
Address
397 E St
Chula Vista, CA 91910
Phone
6194259930
NPI
1497823561
Procedures
5
Total Claims
8.2K
Patients Served
6.4K
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 | $35.78 | 4,999 | 4,969 |
| Dental Filling | $66.59 | 1,634 | 848 |
| Root Canal | $97.41 | 1,016 | 346 |
| Tooth Extraction | $56.60 | 529 | 267 |
| Prescription Medications | $2.67 | 13 | 12 |
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