Based on public Medicaid payment data.
Richard Penamante Gusilatar
Medicaid Provider in Woodland Hills, CA
Type
Individual Provider
Address
20644 Ventura Blvd
Woodland Hills, CA 913642314
Phone
8188878900
NPI
1861560443
Procedures
3
Total Claims
4.9K
Patients Served
3.9K
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 | $60.57 | 2,683 | 2,679 |
| Dental Filling | $64.00 | 2,130 | 1,118 |
| Dental Crown | $476.00 | 128 | 90 |
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