Based on public Medicaid payment data.
Hamed Koushyar
Medicaid Provider in Wildomar, CA
Type
Individual Provider
Address
32475 Clinton Keith Rd Ste 115
Wildomar, CA 925958664
Phone
9516090445
NPI
1619536919
Procedures
2
Total Claims
154
Patients Served
141
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 | $69.00 | 128 | 128 |
| Dental Filling | $67.20 | 26 | 13 |
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