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Based on public Medicaid payment data.

Kamran Dastoury

Medicaid Provider in Lakewood, CO

Type

Individual Provider

Address

2290 Kipling St Unit 2

Lakewood, CO 802151546

Phone

6614668266

NPI

1275831208

Procedures

1

Total Claims

964

Patients Served

311

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
Tooth Extraction $272.42 964 311

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