Based on public Medicaid payment data.
Mariam Noemi Khachatrian
Medicaid Provider in Glendale, CA
Type
Individual Provider
Address
515 W Broadway Apt 214
Glendale, CA 912041082
Phone
8184824159
NPI
1093598500
Procedures
4
Total Claims
9.9K
Patients Served
8.6K
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 | $60.70 | 6,386 | 6,386 |
| Dental Filling | $63.20 | 2,469 | 1,477 |
| Tooth Extraction | $57.32 | 744 | 507 |
| Root Canal | $99.40 | 260 | 189 |
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