Based on public Medicaid payment data.
Nicole Mahanian
Medicaid Provider in Sacramento, CA
Type
Individual Provider
Address
2005 Evergreen St
Sacramento, CA 958153892
Phone
3104864772
NPI
1104370972
Procedures
3
Total Claims
3.3K
Patients Served
3.2K
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 | $33.75 | 2,982 | 2,971 |
| Dental Filling | $34.73 | 239 | 165 |
| Tooth Extraction | $30.39 | 108 | 61 |
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