Based on public Medicaid payment data.
Hesam Shahoveisi
Medicaid Provider in Pico Rivera, CA
Type
Individual Provider
Address
8716 Cord Ave
Pico Rivera, CA 906605507
Phone
5629492526
NPI
1083764674
Procedures
4
Total Claims
2.4K
Patients Served
2.3K
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 | $54.09 | 2,030 | 2,023 |
| Dental Crown | $476.00 | 258 | 172 |
| Tooth Extraction | $119.00 | 69 | 37 |
| Dental Filling | $66.75 | 53 | 39 |
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