Based on public Medicaid payment data.
Sergio Hernandez
Medicaid Provider in Fort Irwin, CA
Type
Individual Provider
Address
171 Inner Loop Rd
Fort Irwin, CA 923100000
Phone
7603803173
NPI
1316210859
Procedures
5
Total Claims
1.4K
Patients Served
1.1K
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 | $65.36 | 749 | 747 |
| Tooth Extraction | $116.67 | 510 | 283 |
| Dental Filling | $62.26 | 96 | 52 |
| Dental Crown | $469.00 | 34 | 25 |
| Root Canal | $63.00 | 14 | 12 |
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