Based on public Medicaid payment data.
Parisa Partovi-Tabar
Medicaid Provider in Montgomery Village, MD
Type
Individual Provider
Address
19644 Club House Rd
Montgomery Village, MD 208863047
Phone
3017407500
NPI
1881979813
Procedures
3
Total Claims
9K
Patients Served
7.4K
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 | $40.63 | 6,219 | 6,099 |
| Dental Filling | $128.05 | 2,765 | 1,300 |
| Tooth Extraction | $103.01 | 29 | 13 |
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