Based on public Medicaid payment data.
Hansel Poerwanto
Medicaid Provider in Sacramento, CA
Type
Individual Provider
Address
1860 Howe Ave Ste 440
Sacramento, CA 958251098
Phone
9165698484
NPI
1629521703
Procedures
3
Total Claims
9.9K
Patients Served
8.4K
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 | $26.96 | 7,647 | 7,025 |
| Dental Filling | $24.12 | 1,274 | 899 |
| Tooth Extraction | $69.92 | 958 | 525 |
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