Based on public Medicaid payment data.
Payam Hooshmand
Medicaid Provider in San Diego, CA
Type
Individual Provider
Address
2195 Station Village Way Apt 1215
San Diego, CA 921086529
Phone
5203000645
NPI
1982184024
Procedures
3
Total Claims
8.5K
Patients Served
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 | $58.21 | 7,570 | 7,510 |
| Dental Filling | $65.74 | 901 | 480 |
| Tooth Extraction | $57.40 | 68 | 41 |
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