Based on public Medicaid payment data.
Sousan M Amiri
Medicaid Provider in Matthews, NC
Type
Individual Provider
Address
2308 Big Pine Dr
Matthews, NC 281056762
Phone
7048399401
NPI
1578734422
Procedures
3
Total Claims
15.4K
Patients Served
12K
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 | $32.23 | 9,547 | 9,199 |
| Dental Filling | $106.71 | 5,807 | 2,765 |
| Tooth Extraction | $84.88 | 75 | 40 |
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