Based on public Medicaid payment data.
Houri Fatourachi
Medicaid Provider in Vista, CA
Type
Individual Provider
Address
2325 South Melrose Drive
Vista, CA 92081
Phone
7607344400
NPI
1346462231
Procedures
2
Total Claims
10.5K
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 | $47.65 | 10,224 | 10,149 |
| Dental Filling | $76.61 | 250 | 147 |
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