Based on public Medicaid payment data.
Roozbeh Ghasemi
Medicaid Provider in Houston, TX
Type
Individual Provider
Address
5762 Sugar Hill Dr
Houston, TX 770572112
Phone
5128503574
NPI
1215548235
Procedures
3
Total Claims
16.5K
Patients Served
14.6K
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 | $43.59 | 12,989 | 12,849 |
| Dental Filling | $91.28 | 3,499 | 1,675 |
| Tooth Extraction | $32.11 | 34 | 27 |
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