Based on public Medicaid payment data.
Idean K Mohammadi
Medicaid Provider in Sedalia, MO
Type
Individual Provider
Address
700 S Limit Ave # 100
Sedalia, MO 653013918
Phone
6602001675
NPI
1962128603
Procedures
2
Total Claims
535
Patients Served
470
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 | $90.19 | 343 | 333 |
| Dental Filling | $194.70 | 192 | 137 |
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