Based on public Medicaid payment data.
Ahmad Momani
Medicaid Provider in Modesto, CA
Type
Individual Provider
Address
2816 Espana Ln
Modesto, CA 953557950
Phone
8315780280
NPI
1538490214
Procedures
5
Total Claims
60.8K
Patients Served
43.4K
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 | $64.03 | 28,221 | 28,034 |
| Dental Filling | $64.73 | 26,235 | 12,409 |
| Tooth Extraction | $113.70 | 5,646 | 2,338 |
| Root Canal | $448.73 | 422 | 394 |
| Dental Crown | $462.58 | 258 | 192 |
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