Based on public Medicaid payment data.
Sedigheh E Masoum
Medicaid Provider in Mission Viejo, CA
Type
Individual Provider
Address
25571 Jeronimo Rd
Mission Viejo, CA 926912726
Phone
9497075533
NPI
1679637821
Procedures
3
Total Claims
3.1K
Patients Served
2.6K
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 | $40.97 | 2,116 | 2,115 |
| Dental Filling | $57.13 | 996 | 444 |
| Tooth Extraction | $57.40 | 19 | 13 |
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