Based on public Medicaid payment data.
Mohmedvasim Rasul Momin
Medicaid Provider in Dallas, TX
Type
Individual Provider
Address
7557 Rambler Rd Ste 111
Dallas, TX 752312360
Phone
4697295972
NPI
1902171838
Procedures
2
Total Claims
125
Patients Served
119
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 | $33.36 | 107 | 107 |
| Tooth Extraction | $151.79 | 18 | 12 |
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