Based on public Medicaid payment data.
Shahram Nouri
Medicaid Provider in Northridge, CA
Type
Individual Provider
Address
9318 Reseda Blvd
Northridge, CA 913242926
Phone
8188855200
NPI
1912069170
Procedures
3
Total Claims
437
Patients Served
301
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 Filling | $73.56 | 234 | 114 |
| Dental Cleaning & Exam | $56.70 | 160 | 160 |
| Dental Crown | $476.00 | 43 | 27 |
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