Based on public Medicaid payment data.
Mawna Dhamotharan Kumar
Medicaid Provider in San Ramon, CA
Type
Individual Provider
Address
12111 Alcosta Blvd
San Ramon, CA 945832637
Phone
9252162544
NPI
1437519063
Procedures
2
Total Claims
519
Patients Served
511
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 | $68.18 | 499 | 499 |
| Dental Filling | $54.60 | 20 | 12 |
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