Based on public Medicaid payment data.
Hanna Lael Robin De Bourg
Medicaid Provider in Costa Mesa, CA
Type
Individual Provider
Address
3105 Harbor Blvd
Costa Mesa, CA 92626
Phone
3109222170
NPI
1487879110
Procedures
2
Total Claims
3.6K
Patients Served
3.6K
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 | $45.26 | 3,594 | 3,568 |
| Dental Filling | $64.00 | 21 | 13 |
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