Based on public Medicaid payment data.
Mostafa Khattab
Medicaid Provider in Corona, CA
Type
Individual Provider
Address
807 W Grand Blvd
Corona, CA 928823272
Phone
9517378737
NPI
1558428748
Procedures
3
Total Claims
905
Patients Served
879
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 | $57.39 | 829 | 825 |
| Dental Filling | $65.98 | 55 | 40 |
| Dental Crown | $476.00 | 21 | 14 |
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