Based on public Medicaid payment data.
Roya Nematollahi
Medicaid Provider in Tustin, CA
Type
Individual Provider
Address
14122 Red Hill Ave
Tustin, CA 92780
Phone
7145448338
NPI
1780863266
Procedures
2
Total Claims
299
Patients Served
286
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 | $54.14 | 276 | 272 |
| Dental Filling | $67.20 | 23 | 14 |
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