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Based on public Medicaid payment data.

Soudabeh Mohammadi Kholdi

Medicaid Provider in Livermore, CA

Type

Individual Provider

Address

1319 Winding Stream Dr

Livermore, CA 945518935

Phone

9253730703

NPI

1467629071

Procedures

1

Total Claims

83

Patients Served

83

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 $31.02 83 83

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