Based on public Medicaid payment data.
Kevin Shigeru Omoto
Medicaid Provider in Westminster, CA
Type
Individual Provider
Address
15355 Brookhurst St
Westminster, CA 926837077
Phone
7145315175
NPI
1609176460
Procedures
1
Total Claims
12
Patients Served
12
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 | $45.00 | 12 | 12 |
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