Based on public Medicaid payment data.
Milad Gheisari
Medicaid Provider in Kirtland Afb, NM
Type
Individual Provider
Address
2050A 2Nd St Se
Kirtland Afb, NM 871176600
Phone
5058463200
NPI
1629851159
Procedures
2
Total Claims
322
Patients Served
293
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 | $27.92 | 266 | 265 |
| Dental Filling | $49.85 | 56 | 28 |
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