Based on public Medicaid payment data.
Daniel Boudaie
Medicaid Provider in North Hollywood, CA
Type
Individual Provider
Address
10933 Victory Blvd
North Hollywood, CA 916063717
Phone
8185091818
NPI
1033210489
Procedures
5
Total Claims
19.9K
Patients Served
14.8K
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 | $47.51 | 10,187 | 10,142 |
| Dental Filling | $66.90 | 7,926 | 3,532 |
| Tooth Extraction | $108.90 | 853 | 466 |
| Dental Crown | $459.32 | 795 | 525 |
| Root Canal | $387.15 | 146 | 115 |
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