Based on public Medicaid payment data.
Shiva Roghani
Medicaid Provider in Tustin, CA
Type
Individual Provider
Address
13420 Newport Ave
Tustin, CA 927803745
Phone
7148321343
NPI
1083803183
Procedures
4
Total Claims
11.1K
Patients Served
10.3K
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 | $52.21 | 9,059 | 9,033 |
| Dental Filling | $65.94 | 1,668 | 983 |
| Tooth Extraction | $57.00 | 287 | 183 |
| Root Canal | $97.84 | 80 | 64 |
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