Based on public Medicaid payment data.
Khashayar Etemadi
Medicaid Provider in Riverside, CA
Type
Individual Provider
Address
6071 Magnolia Ave
Riverside, CA 925062525
Phone
9516801777
NPI
1538240247
Procedures
5
Total Claims
6.7K
Patients Served
6.1K
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 | $60.32 | 5,241 | 5,216 |
| Dental Filling | $76.05 | 1,009 | 578 |
| Dental Crown | $474.61 | 342 | 240 |
| Tooth Extraction | $115.78 | 74 | 37 |
| Root Canal | $63.00 | 49 | 38 |
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