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Based on public Medicaid payment data.

Melisa Hernandez

Medicaid Provider in North Hollywood, CA

Type

Individual Provider

Address

12120 Saticoy St

North Hollywood, CA 916053055

Phone

8182552244

NPI

1669675377

Procedures

3

Total Claims

561

Patients Served

543

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 $55.88 514 513
Dental Filling $62.57 29 16
Tooth Extraction $92.56 18 14

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