Based on public Medicaid payment data.
Tarig A Elmubarak Mohamed
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
725 S Bixel St Apt 662
Los Angeles, CA 900172249
Phone
9167521114
NPI
1154063469
Procedures
3
Total Claims
206
Patients Served
188
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 | $63.79 | 102 | 102 |
| Dental Crown | $476.00 | 86 | 73 |
| Tooth Extraction | $119.00 | 18 | 13 |
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