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Based on public Medicaid payment data.

Fahed Daher Hattar

Medicaid Provider in Victorville, CA

Type

Individual Provider

Address

15366 11Th St

Victorville, CA 92395

Phone

7602433595

NPI

1770677858

Procedures

5

Total Claims

16.9K

Patients Served

14.2K

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 $55.92 11,262 11,216
Dental Filling $60.58 2,815 1,548
Tooth Extraction $111.65 2,133 918
Dental Crown $474.23 635 464
Root Canal $460.04 69 64

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