Based on public Medicaid payment data.
Nora Ghodousi
Medicaid Provider in Encino, CA
Type
Individual Provider
Address
16308 Mandalay Dr
Encino, CA 914363631
Phone
8184566017
NPI
1689025025
Procedures
4
Total Claims
7.2K
Patients Served
5.9K
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 | $37.01 | 4,741 | 4,733 |
| Root Canal | $96.51 | 1,117 | 428 |
| Tooth Extraction | $55.99 | 964 | 486 |
| Dental Filling | $69.17 | 406 | 207 |
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