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Based on public Medicaid payment data.

Sam Daliri

Medicaid Provider in Peachtree Corners, GA

Type

Individual Provider

Address

7760 Spalding Dr

Peachtree Corners, GA 300924207

Phone

7702705700

NPI

1487209664

Procedures

3

Total Claims

9.6K

Patients Served

8.5K

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 $31.01 7,516 7,013
Dental Filling $63.15 1,020 885
Tooth Extraction $105.13 1,019 617

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