Based on public Medicaid payment data.
Su Mei Mai
Medicaid Provider in Fort Irwin, CA
Type
Individual Provider
Address
3745 Fredricksburg St Apt B
Fort Irwin, CA 923101701
Phone
2707988751
NPI
1487179743
Procedures
3
Total Claims
10K
Patients Served
8.9K
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 | $66.98 | 7,505 | 7,481 |
| Dental Filling | $64.92 | 2,223 | 1,254 |
| Dental Crown | $473.65 | 253 | 211 |
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