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Based on public Medicaid payment data.

Manohara Welikala

Medicaid Provider in Moorpark, CA

Type

Individual Provider

Address

55 W Los Angeles Ave

Moorpark, CA 930211820

Phone

8055233216

NPI

1598799199

Procedures

3

Total Claims

22.2K

Patients Served

20.9K

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 $52.71 19,293 19,208
Dental Filling $65.07 2,930 1,727
Tooth Extraction $57.40 16 14

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