Based on public Medicaid payment data.
Samantha Bona
Medicaid Provider in Menlo Park, CA
Type
Individual Provider
Address
90 Middlefield Rd # 1
Menlo Park, CA 940254001
Phone
6503230264
NPI
1255708491
Procedures
2
Total Claims
2.1K
Patients Served
2.1K
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 | $3.00 | 2,068 | 2,038 |
| Dental Filling | $0.00 | 32 | 15 |
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