Based on public Medicaid payment data.
Anthony R Hernandez
Medicaid Provider in Madison, WI
Type
Individual Provider
Address
5116 American Family Dr
Madison, WI 537188331
Phone
6088257500
NPI
1972614154
Procedures
3
Total Claims
11.4K
Patients Served
10.2K
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 | $25.29 | 9,375 | 9,331 |
| Dental Filling | $115.70 | 1,264 | 576 |
| Tooth Extraction | $105.42 | 810 | 283 |
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