Based on public Medicaid payment data.
Ayman Ghozlan
Medicaid Provider in Lodi, CA
Type
Individual Provider
Address
1745 W Kettleman Ln
Lodi, CA 952429287
Phone
9163371077
NPI
1740320480
Procedures
5
Total Claims
56.7K
Patients Served
52.5K
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 | $59.77 | 46,796 | 46,662 |
| Tooth Extraction | $87.96 | 7,233 | 3,371 |
| Root Canal | $176.26 | 1,701 | 1,625 |
| Dental Crown | $470.44 | 835 | 741 |
| Dental Filling | $67.02 | 140 | 107 |
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