Based on public Medicaid payment data.
Lilit Balayan
Medicaid Provider in San Diego, CA
Type
Individual Provider
Address
8997 Mira Mesa Blvd
San Diego, CA 921262738
Phone
6197042536
NPI
1518564822
Procedures
4
Total Claims
12K
Patients Served
10.8K
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 | $39.13 | 10,660 | 9,881 |
| Dental Filling | $82.63 | 1,079 | 687 |
| Dental Crown | $655.81 | 253 | 186 |
| Tooth Extraction | $77.29 | 43 | 15 |
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