Based on public Medicaid payment data.
Harold Ignacio Portilla
Medicaid Provider in Escondido, CA
Type
Individual Provider
Address
200 N Ash St
Escondido, CA 920273024
Phone
7607388300
NPI
1023140688
Procedures
3
Total Claims
6.5K
Patients Served
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 | $71.75 | 3,471 | 3,463 |
| Dental Filling | $60.75 | 2,988 | 1,509 |
| Dental Crown | $476.00 | 57 | 40 |
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