Based on public Medicaid payment data.
James Masataka Michino
Medicaid Provider in Honolulu, HI
Type
Individual Provider
Address
930 Valkenburgh St Spc 206
Honolulu, HI 968183914
Phone
8083425920
NPI
1730494931
Procedures
2
Total Claims
126
Patients Served
123
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 | $29.40 | 109 | 109 |
| Tooth Extraction | $56.78 | 17 | 14 |
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