Based on public Medicaid payment data.
Alireza Shayan Mehmandoost
Medicaid Provider in Waller, TX
Type
Individual Provider
Address
31315 Fm 2920 Rd Ste 16A
Waller, TX 774848022
Phone
9363722673
NPI
1174256846
Procedures
2
Total Claims
1.4K
Patients Served
1.4K
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 | $40.49 | 1,383 | 1,341 |
| Dental Filling | $103.90 | 23 | 14 |
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