Based on public Medicaid payment data.
Viktoriya Viktorivna Seliverstova
Medicaid Provider in Sacramento, CA
Type
Individual Provider
Address
3945 Marysville Blvd
Sacramento, CA 958383711
Phone
9165645294
NPI
1619084621
Procedures
4
Total Claims
7.2K
Patients Served
6K
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 | $56.85 | 4,459 | 4,448 |
| Dental Filling | $80.54 | 2,075 | 1,148 |
| Root Canal | $98.65 | 529 | 294 |
| Tooth Extraction | $57.40 | 153 | 111 |
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