Based on public Medicaid payment data.
Moutaz Kotrob
Medicaid Provider in South San Francisco, CA
Type
Individual Provider
Address
1133 El Camino Real Ste 5
South San Francisco, CA 940803288
Phone
6502449928
NPI
1043406283
Procedures
2
Total Claims
243
Patients Served
206
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 | $86.18 | 182 | 182 |
| Dental Filling | $81.60 | 61 | 24 |
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