Based on public Medicaid payment data.
Nina Moghaddam Gray
Medicaid Provider in Panorama City, CA
Type
Individual Provider
Address
14415 Chase St
Panorama City, CA 914023017
Phone
8188309050
NPI
1972643260
Procedures
4
Total Claims
67K
Patients Served
47.2K
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 | $45.55 | 32,657 | 32,514 |
| Dental Filling | $61.42 | 18,929 | 8,381 |
| Tooth Extraction | $57.14 | 7,971 | 3,895 |
| Root Canal | $99.16 | 7,402 | 2,390 |
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