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Based on public Medicaid payment data.

Jason Daniel Moghimi

Medicaid Provider in Montebello, CA

Type

Individual Provider

Address

2100 W Beverly Blvd

Montebello, CA 906403902

Phone

3237249536

NPI

1184351959

Procedures

3

Total Claims

1.3K

Patients Served

1.2K

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 $74.16 1,085 1,073
Dental Filling $58.57 215 112
Tooth Extraction $112.57 37 21

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