Based on public Medicaid payment data.
Shorouq Sameer Sahawneh
Medicaid Provider in Costa Mesa, CA
Type
Individual Provider
Address
550 Paularino Ave
Costa Mesa, CA 926263273
Phone
7144361001
NPI
1235346750
Procedures
3
Total Claims
5.2K
Patients Served
5.2K
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 | $50.73 | 5,136 | 5,104 |
| Dental Crown | $476.00 | 66 | 39 |
| Tooth Extraction | $119.00 | 31 | 12 |
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