Based on public Medicaid payment data.
Pasha Mostofi
Medicaid Provider in Everett, WA
Type
Individual Provider
Address
5929 Evergreen Way Ste 300
Everett, WA 982036031
Phone
4253563000
NPI
1356743397
Procedures
2
Total Claims
152
Patients Served
72
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 |
|---|---|---|---|
| Tooth Extraction | $146.03 | 126 | 46 |
| Dental Cleaning & Exam | $27.79 | 26 | 26 |
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