Based on public Medicaid payment data.
Hesham Mahmoud Hassan
Medicaid Provider in Pomona, CA
Type
Individual Provider
Address
408 W Grove St
Pomona, CA 917671634
Phone
6266412862
NPI
1114017282
Procedures
5
Total Claims
36.2K
Patients Served
31K
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 | $43.70 | 26,318 | 26,182 |
| Dental Filling | $63.61 | 6,795 | 3,100 |
| Tooth Extraction | $64.20 | 2,231 | 1,238 |
| Root Canal | $97.25 | 509 | 313 |
| Dental Crown | $459.63 | 303 | 202 |
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