Based on public Medicaid payment data.
Jerry Hernandez
Medicaid Provider in La Mesa, CA
Type
Individual Provider
Address
7484 University Ave
La Mesa, CA 919426063
Phone
6194602500
NPI
1649565557
Procedures
5
Total Claims
9.4K
Patients Served
7.8K
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 | $62.48 | 4,945 | 4,938 |
| Dental Filling | $62.36 | 3,920 | 2,390 |
| Dental Crown | $476.00 | 415 | 331 |
| Tooth Extraction | $118.02 | 121 | 81 |
| Root Canal | $463.40 | 25 | 24 |
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