Based on public Medicaid payment data.
Sasan Molavi
Medicaid Provider in Mount Pleasant, WI
Type
Individual Provider
Address
6100 Washington Ave Ste F2
Mount Pleasant, WI 534064000
Phone
2629999998
NPI
1467680504
Procedures
5
Total Claims
82.1K
Patients Served
66.6K
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 | $29.73 | 54,350 | 50,514 |
| Dental Filling | $73.64 | 18,714 | 11,149 |
| Tooth Extraction | $95.58 | 8,581 | 4,686 |
| Root Canal | $78.47 | 412 | 270 |
| Dental Crown | $255.65 | 23 | 15 |
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