Based on public Medicaid payment data.
Mirhamid Salek
Medicaid Provider in West Covina, CA
Type
Individual Provider
Address
628 N Azusa Ave
West Covina, CA 91791
Phone
6269668408
NPI
1275969156
Procedures
5
Total Claims
6.7K
Patients Served
5.7K
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 | $66.13 | 3,193 | 3,182 |
| Dental Crown | $476.00 | 1,019 | 774 |
| Root Canal | $447.38 | 987 | 879 |
| Tooth Extraction | $91.98 | 834 | 501 |
| Dental Filling | $65.37 | 678 | 394 |
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