Based on public Medicaid payment data.
Mohamad Saleh Kholaki
Medicaid Provider in Duarte, CA
Type
Individual Provider
Address
1230 Huntington Dr
Duarte, CA 910102404
Phone
6263014220
NPI
1043350671
Procedures
1
Total Claims
24
Patients Served
24
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 | $31.25 | 24 | 24 |
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