Based on public Medicaid payment data.
Samir B Shah
Medicaid Provider in Rialto, CA
Type
Individual Provider
Address
469 W Base Line Rd
Rialto, CA 923763379
Phone
9097460444
NPI
1457412611
Procedures
3
Total Claims
18.6K
Patients Served
16.8K
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 | $56.99 | 14,615 | 14,605 |
| Dental Filling | $62.49 | 3,372 | 1,710 |
| Tooth Extraction | $108.72 | 660 | 458 |
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