Based on public Medicaid payment data.
Maryam Jahansouz
Medicaid Provider in Teaneck, NJ
Type
Individual Provider
Address
265 Cedar Ln Ste 203
Teaneck, NJ 076663444
Phone
2014881164
NPI
1366509010
Procedures
4
Total Claims
25.2K
Patients Served
22.2K
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 | $9.35 | 18,043 | 17,573 |
| Dental Filling | $21.28 | 6,954 | 4,487 |
| Dental Crown | $231.99 | 223 | 167 |
| Tooth Extraction | $24.12 | 17 | 12 |
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