Based on public Medicaid payment data.
Farnam Ahmadi Moshtaghin
Medicaid Provider in San Luis Obispo, CA
Type
Individual Provider
Address
3870 Broad St Ste 1
San Luis Obispo, CA 934017172
Phone
8052144071
NPI
1972142040
Procedures
5
Total Claims
12.3K
Patients Served
9.4K
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 | $59.42 | 7,484 | 7,464 |
| Tooth Extraction | $90.60 | 2,813 | 826 |
| Dental Filling | $67.90 | 1,407 | 629 |
| Root Canal | $392.96 | 471 | 409 |
| Dental Crown | $465.87 | 127 | 84 |
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