Based on public Medicaid payment data.
Sambath Sem Tiep
Medicaid Provider in Poway, CA
Type
Individual Provider
Address
15725 Pomerado Rd Ste 206
Poway, CA 920642059
Phone
8582513313
NPI
1598093643
Procedures
4
Total Claims
44.5K
Patients Served
40K
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 | $48.38 | 32,859 | 32,722 |
| Dental Filling | $64.37 | 8,781 | 5,465 |
| Tooth Extraction | $56.09 | 2,232 | 1,380 |
| Root Canal | $96.30 | 630 | 412 |
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