Based on public Medicaid payment data.
Kristen Ashraf Masoudipoya Moore
Medicaid Provider in Jacksonville, FL
Type
Individual Provider
Address
9109 Baymeadows Rd Ste 1
Jacksonville, FL 322561842
Phone
9047314343
NPI
1376926154
Procedures
3
Total Claims
12K
Patients Served
9.9K
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 | $27.31 | 9,313 | 8,514 |
| Dental Filling | $62.95 | 2,593 | 1,275 |
| Tooth Extraction | $36.96 | 89 | 61 |
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