Based on public Medicaid payment data.
Massara Kababchy
Medicaid Provider in San Diego, CA
Type
Individual Provider
Address
9450 Scranton Rd Ste 109
San Diego, CA 921214742
Phone
8584578514
NPI
1184243636
Procedures
4
Total Claims
1.6K
Patients Served
1.5K
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 | $69.61 | 1,459 | 1,453 |
| Dental Crown | $476.00 | 65 | 55 |
| Dental Filling | $64.28 | 23 | 14 |
| Tooth Extraction | $57.40 | 17 | 13 |
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