Based on public Medicaid payment data.
Siamak Khakshooy
Medicaid Provider in Inglewood, CA
Type
Individual Provider
Address
3451 W Century Blvd Ste B1
Inglewood, CA 903031228
Phone
3103309000
NPI
1750437109
Procedures
3
Total Claims
4.6K
Patients Served
3.6K
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 | $61.18 | 2,987 | 2,975 |
| Tooth Extraction | $118.35 | 1,507 | 640 |
| Dental Filling | $66.21 | 68 | 28 |
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