Based on public Medicaid payment data.
Roozbeh Khosravi
Medicaid Provider in Sammamish, WA
Type
Individual Provider
Address
22620 Se 4Th St Ste 210
Sammamish, WA 980747375
Phone
4255262060
NPI
1629433891
Procedures
1
Total Claims
324
Patients Served
323
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 | $42.65 | 324 | 323 |
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