Based on public Medicaid payment data.
Shahla Roghieh Radfar
Medicaid Provider in Ellicott City, MD
Type
Individual Provider
Address
5052 Dorsey Hall Dr
Ellicott City, MD 210427750
Phone
4107729552
NPI
1629236518
Procedures
4
Total Claims
945
Patients Served
596
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 Filling | $165.13 | 465 | 214 |
| Dental Cleaning & Exam | $60.39 | 291 | 279 |
| Dental Crown | $492.30 | 176 | 91 |
| Root Canal | $748.00 | 13 | 12 |
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