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Based on public Medicaid payment data.

Farhan Abbas Momin

Medicaid Provider in Dallas, GA

Type

Individual Provider

Address

8709 Dallas Acworth Hwy

Dallas, GA 301322177

Phone

7706934400

NPI

1700437118

Procedures

3

Total Claims

580

Patients Served

566

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 $28.51 546 538
Dental Filling $80.25 21 15
Dental Crown $253.29 13 13

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