Based on public Medicaid payment data.
Kevin M. Ehtessabian
Medicaid Provider in Palos Verdes Estates, CA
Type
Individual Provider
Address
2725 Via Victoria
Palos Verdes Estates, CA 902744475
Phone
3103085996
NPI
1760020598
Procedures
2
Total Claims
225
Patients Served
167
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 | $67.05 | 133 | 75 |
| Dental Cleaning & Exam | $64.48 | 92 | 92 |
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