Based on public Medicaid payment data.
Elizabeth F. Hermosillo
Medicaid Provider in San Fernando, CA
Type
Individual Provider
Address
12670 Cometa Ave
San Fernando, CA 913401148
Phone
8185715338
NPI
1164659272
Procedures
1
Total Claims
264
Patients Served
251
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 | $40.57 | 264 | 251 |
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