Based on public Medicaid payment data.
Ali Manouchehri
Medicaid Provider in West Covina, CA
Type
Individual Provider
Address
2233 E Garvey Ave N
West Covina, CA 917911500
Phone
6269663033
NPI
1912114059
Procedures
4
Total Claims
186.6K
Patients Served
160.6K
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 | $48.85 | 131,991 | 131,620 |
| Dental Filling | $61.18 | 31,796 | 16,938 |
| Tooth Extraction | $56.19 | 12,097 | 6,999 |
| Root Canal | $97.87 | 10,702 | 5,069 |
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