Based on public Medicaid payment data.
Asrai Mousa
Medicaid Provider in Fremont, CA
Type
Individual Provider
Address
39340 Fremont Blvd
Fremont, CA 945381320
Phone
5108760074
NPI
1043986292
Procedures
2
Total Claims
4K
Patients Served
4K
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 | $61.89 | 3,943 | 3,941 |
| Tooth Extraction | $57.40 | 48 | 38 |
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