Based on public Medicaid payment data.
Stella Koletic
Medicaid Provider in Encino, CA
Type
Individual Provider
Address
5400 Balboa Blvd
Encino, CA 913161502
Phone
8187896257
NPI
1730358409
Procedures
3
Total Claims
6.2K
Patients Served
5.8K
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 | $40.61 | 5,088 | 5,086 |
| Dental Filling | $61.39 | 798 | 489 |
| Tooth Extraction | $57.04 | 318 | 228 |
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