Based on public Medicaid payment data.
Hassan Davalloo-Ghajar
Medicaid Provider in Germantown, MD
Type
Individual Provider
Address
20111 Cider Barrel Dr
Germantown, MD 208762708
Phone
9548295552
NPI
1720366099
Procedures
4
Total Claims
57.1K
Patients Served
48.2K
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 | $41.22 | 36,400 | 35,799 |
| Dental Filling | $121.77 | 12,050 | 7,577 |
| Tooth Extraction | $110.39 | 7,254 | 3,944 |
| Root Canal | $59.45 | 1,379 | 834 |
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