Based on public Medicaid payment data.
Travis Nishioka
Medicaid Provider in Pearl City, HI
Type
Individual Provider
Address
719 Kam Hwy
Pearl City, HI 967822709
Phone
8084553485
NPI
1295218287
Procedures
3
Total Claims
6.1K
Patients Served
4.6K
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 Cleaning & Exam | $32.30 | 3,951 | 3,945 |
| Dental Filling | $95.13 | 1,264 | 375 |
| Tooth Extraction | $84.39 | 883 | 257 |
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