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Based on public Medicaid payment data.

Juan Jose Hidalgo Villacorta

Medicaid Provider in Van Nuys, CA

Type

Individual Provider

Address

14435 Hamlin St Ste 101

Van Nuys, CA 914016205

Phone

8189887067

NPI

1033757570

Procedures

2

Total Claims

848

Patients Served

811

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 $56.62 774 769
Dental Filling $58.01 74 42

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