Based on public Medicaid payment data.
Jerry Siderman
Medicaid Provider in Huntington Park, CA
Type
Individual Provider
Address
6601 Rugby Ave Ste 400
Huntington Park, CA 902554046
Phone
3235851515
NPI
1386716975
Procedures
5
Total Claims
23.6K
Patients Served
20.8K
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 | $51.60 | 18,944 | 18,851 |
| Dental Filling | $63.38 | 3,370 | 1,185 |
| Dental Crown | $472.90 | 577 | 347 |
| Tooth Extraction | $54.99 | 501 | 270 |
| Root Canal | $123.10 | 215 | 97 |
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