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Based on public Medicaid payment data.

Kooshyar Tahmasbi Dezfuly

Medicaid Provider in Irvine, CA

Type

Individual Provider

Address

1022 Whispering Trl

Irvine, CA 926020808

Phone

6508393483

NPI

1881062727

Procedures

4

Total Claims

907

Patients Served

758

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 $65.38 696 691
Tooth Extraction $115.53 103 24
Dental Filling $62.25 84 31
Dental Crown $476.00 24 12

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