Based on public Medicaid payment data.
Nima Boostani
Medicaid Provider in Santa Monica, CA
Type
Individual Provider
Address
1217 Wilshire Blvd Ste 3678
Santa Monica, CA 904035466
Phone
3105715826
NPI
1639771256
Procedures
3
Total Claims
2.6K
Patients Served
2.4K
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 | $58.85 | 1,941 | 1,940 |
| Dental Filling | $64.75 | 639 | 450 |
| Dental Crown | $476.00 | 47 | 35 |
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