Based on public Medicaid payment data.
Mona Dousti
Medicaid Provider in Irvine, CA
Type
Individual Provider
Address
70 Brindisi
Irvine, CA 926180109
Phone
3106006582
NPI
1124647607
Procedures
4
Total Claims
10.9K
Patients Served
10.6K
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 | $61.05 | 10,108 | 10,096 |
| Dental Filling | $62.31 | 515 | 322 |
| Tooth Extraction | $57.10 | 194 | 96 |
| Root Canal | $98.64 | 131 | 39 |
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