Based on public Medicaid payment data.
Elias George Koutros
Medicaid Provider in Riverside, CA
Type
Individual Provider
Address
1970 University Ave Ste 316
Riverside, CA 925075202
Phone
9512133460
NPI
1730286188
Procedures
2
Total Claims
879
Patients Served
680
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 | $29.95 | 765 | 632 |
| Dental Filling | $55.00 | 114 | 48 |
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