Based on public Medicaid payment data.
Editha Pascual Poblete
Medicaid Provider in North Hollywood, CA
Type
Individual Provider
Address
11631 Victory Blvd. Ste. 102
North Hollywood, CA 91606
Phone
8187663660
NPI
1346333861
Procedures
2
Total Claims
154
Patients Served
127
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 | $68.23 | 113 | 113 |
| Dental Filling | $54.60 | 41 | 14 |
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