Based on public Medicaid payment data.
David K Moghimi
Medicaid Provider in Montebello, CA
Type
Individual Provider
Address
2100 W Beverly Blvd
Montebello, CA 906403902
Phone
3237249536
NPI
1558406520
Procedures
4
Total Claims
8.3K
Patients Served
7.3K
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 | $59.25 | 6,278 | 6,251 |
| Tooth Extraction | $116.89 | 1,246 | 601 |
| Dental Filling | $65.51 | 554 | 328 |
| Dental Crown | $476.00 | 218 | 145 |
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