Based on public Medicaid payment data.
Hykal R Khosravibabadi
Medicaid Provider in Espanola, NM
Type
Individual Provider
Address
1508 N Riverside Dr
Espanola, NM 875322064
Phone
5057530544
NPI
1306574868
Procedures
3
Total Claims
9.1K
Patients Served
7.3K
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 | $34.22 | 5,887 | 5,815 |
| Dental Filling | $66.16 | 1,708 | 924 |
| Tooth Extraction | $73.61 | 1,539 | 526 |
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