Based on public Medicaid payment data.
Jonathan Hsi
Medicaid Provider in Los Lunas, NM
Type
Individual Provider
Address
1620 Main St Nw Ste D
Los Lunas, NM 870314891
Phone
8889884066
NPI
1003331984
Procedures
3
Total Claims
19.8K
Patients Served
18.7K
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 | $33.53 | 17,256 | 17,043 |
| Dental Filling | $68.89 | 2,096 | 1,352 |
| Tooth Extraction | $102.53 | 493 | 297 |
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