Based on public Medicaid payment data.
Ignacio Esaul Mendoza Ham
Medicaid Provider in Modesto, CA
Type
Individual Provider
Address
3025 Mchenry Ave
Modesto, CA 953509535
Phone
2095273990
NPI
1215583570
Procedures
5
Total Claims
9.2K
Patients Served
6.6K
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 Filling | $63.06 | 3,862 | 1,812 |
| Dental Cleaning & Exam | $63.44 | 3,110 | 3,109 |
| Dental Crown | $473.78 | 995 | 766 |
| Root Canal | $452.88 | 703 | 652 |
| Tooth Extraction | $116.42 | 553 | 231 |
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