Based on public Medicaid payment data.
Rodolfo Hernandez Morales
Medicaid Provider in San Jose, CA
Type
Individual Provider
Address
171 George St
San Jose, CA 951102118
Phone
4087700704
NPI
1699260935
Procedures
2
Total Claims
262
Patients Served
237
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 | $66.54 | 213 | 213 |
| Dental Filling | $59.49 | 49 | 24 |
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