Based on public Medicaid payment data.
Jessica Hatala
Medicaid Provider in Lords Valley, PA
Type
Individual Provider
Address
750 Route 739
Lords Valley, PA 184286058
Phone
5707757818
NPI
1972128791
Procedures
3
Total Claims
4.7K
Patients Served
3.1K
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 | $21.65 | 3,903 | 2,664 |
| Dental Filling | $56.39 | 536 | 281 |
| Tooth Extraction | $83.43 | 277 | 144 |
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