Based on public Medicaid payment data.
Shahram Sean Ashtiani
Medicaid Provider in Mission Viejo, CA
Type
Individual Provider
Address
23482 Alicia Pkwy
Mission Viejo, CA 926912601
Phone
6142661584
NPI
1629128897
Procedures
4
Total Claims
7.6K
Patients Served
6.6K
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 | $49.91 | 5,823 | 5,778 |
| Dental Filling | $60.17 | 1,660 | 699 |
| Dental Crown | $474.39 | 74 | 57 |
| Tooth Extraction | $119.00 | 51 | 37 |
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