Based on public Medicaid payment data.
Mo Pezeshk
Medicaid Provider in Round Rock, TX
Type
Individual Provider
Address
1780 Round Rock Ave Ste 100
Round Rock, TX 786814069
Phone
5123417500
NPI
1164787230
Procedures
3
Total Claims
3.7K
Patients Served
2.4K
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 | $28.51 | 2,216 | 1,985 |
| Dental Filling | $74.51 | 1,415 | 396 |
| Tooth Extraction | $92.91 | 35 | 12 |
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