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Based on public Medicaid payment data.

Golnesa Rouie Miab

Medicaid Provider in Saint Charles, MO

Type

Individual Provider

Address

2048 1St Capitol Dr

Saint Charles, MO 633011647

Phone

3144988093

NPI

1649840042

Procedures

3

Total Claims

1.8K

Patients Served

1.6K

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 $24.17 1,438 1,307
Tooth Extraction $43.51 257 168
Dental Filling $47.71 92 83

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