Based on public Medicaid payment data.
Jonathan David Hernandez
Medicaid Provider in San Angelo, TX
Type
Individual Provider
Address
3013 Loop 306
San Angelo, TX 769046472
Phone
3259477777
NPI
1295345924
Procedures
3
Total Claims
11.1K
Patients Served
9.8K
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 | $42.97 | 8,349 | 8,250 |
| Dental Filling | $80.46 | 2,652 | 1,563 |
| Tooth Extraction | $33.09 | 56 | 31 |
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