Based on public Medicaid payment data.
Solmaz Forutan
Medicaid Provider in San Jose, CA
Type
Individual Provider
Address
5595 Winfield Blvd Ste 212
San Jose, CA 951231220
Phone
4083657767
NPI
1881248458
Procedures
2
Total Claims
189
Patients Served
171
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 | $26.97 | 174 | 158 |
| Dental Filling | $49.36 | 15 | 13 |
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