Based on public Medicaid payment data.
Edwin Jakob Pouldar
Medicaid Provider in Sherman Oaks, CA
Type
Individual Provider
Address
14912 Burbank Blvd
Sherman Oaks, CA 914113609
Phone
8189090222
NPI
1801403886
Procedures
2
Total Claims
915
Patients Served
764
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 | $60.40 | 623 | 608 |
| Dental Filling | $68.08 | 292 | 156 |
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