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Based on public Medicaid payment data.

Pegah Shayesteh Khorram

Medicaid Provider in Woodland Hills, CA

Type

Individual Provider

Address

22233 Buena Ventura St

Woodland Hills, CA 913645007

Phone

8186244846

NPI

1164949111

Procedures

4

Total Claims

15.7K

Patients Served

13.5K

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 $47.82 11,371 11,363
Dental Filling $65.62 2,665 1,287
Tooth Extraction $57.24 1,200 652
Root Canal $99.17 428 227

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