Based on public Medicaid payment data.
Elsa W Hernandez
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
11724 Wilmington Ave
Los Angeles, CA 90059
Phone
3234849260
NPI
1497938401
Procedures
5
Total Claims
128.1K
Patients Served
113K
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 | $55.40 | 93,313 | 92,787 |
| Dental Filling | $62.26 | 19,481 | 11,982 |
| Tooth Extraction | $62.05 | 12,098 | 6,575 |
| Root Canal | $100.55 | 3,128 | 1,589 |
| Dental Crown | $476.00 | 66 | 57 |
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