Based on public Medicaid payment data.
Jacob Moreno
Medicaid Provider in Sylmar, CA
Type
Individual Provider
Address
12737 Glenoaks Blvd Ste 6
Sylmar, CA 913424757
Phone
8188337216
NPI
1831287721
Procedures
2
Total Claims
5.1K
Patients Served
4.7K
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 | $40.89 | 3,913 | 3,911 |
| Dental Filling | $67.42 | 1,158 | 762 |
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