Based on public Medicaid payment data.
Farzaneh Rostami
Medicaid Provider in Washington, DC
Type
Individual Provider
Address
1145 19Th St Nw Ste 777
Washington, DC 200363744
Phone
0222966600
NPI
1295055762
Procedures
2
Total Claims
338
Patients Served
179
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 |
|---|---|---|---|
| Tooth Extraction | $141.12 | 292 | 142 |
| Dental Cleaning & Exam | $30.22 | 46 | 37 |
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