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Based on public Medicaid payment data.

Samuel Salen

Medicaid Provider in Pomona, CA

Type

Individual Provider

Address

1902 Royalty Dr

Pomona, CA 917673056

Phone

9095703108

NPI

1629073804

Procedures

2

Total Claims

247

Patients Served

245

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
Mammogram $34.89 164 164
X-Ray $5.49 83 81

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