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Based on public Medicaid payment data.

Kazi Shafiul Moula

Medicaid Provider in Fresno, CA

Type

Individual Provider

Address

Western Dental/ Brident 150Bfo

Fresno, CA 93711

Phone

5594901327

NPI

1104464684

Procedures

3

Total Claims

951

Patients Served

869

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 $57.34 735 735
Dental Filling $59.99 202 122
Dental Crown $442.00 14 12

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