Based on public Medicaid payment data.
Omeed Mahboobian
Medicaid Provider in Santa Monica, CA
Type
Individual Provider
Address
1217 Wilshire Blvd
Santa Monica, CA 90403
Phone
4242615115
NPI
1255993069
Procedures
5
Total Claims
17.9K
Patients Served
16.6K
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 | $51.45 | 14,871 | 14,815 |
| Dental Filling | $63.43 | 1,552 | 939 |
| Root Canal | $99.40 | 718 | 354 |
| Tooth Extraction | $64.64 | 671 | 396 |
| Dental Crown | $470.47 | 86 | 67 |
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