Based on public Medicaid payment data.
Shabnam Dastmalchian
Medicaid Provider in San Fernando, CA
Type
Individual Provider
Address
326 N Maclay Ave
San Fernando, CA 91340
Phone
8188989990
NPI
1023221850
Procedures
1
Total Claims
1.4K
Patients Served
1.4K
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 | $54.91 | 1,367 | 1,364 |
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