Based on public Medicaid payment data.
Ismail Ibrahim Elsherif
Medicaid Provider in Covina, CA
Type
Individual Provider
Address
4550 N Lark Ellen Ave Ste 104
Covina, CA 917223147
Phone
6263318041
NPI
1396800173
Procedures
5
Total Claims
5.9K
Patients Served
5.7K
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 | $63.08 | 4,591 | 4,577 |
| Root Canal | $461.34 | 986 | 913 |
| Dental Crown | $476.00 | 186 | 133 |
| Tooth Extraction | $118.21 | 151 | 91 |
| Dental Filling | $67.20 | 19 | 13 |
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