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Based on public Medicaid payment data.

Alenda Luptrawan

Medicaid Provider in San Bernardino, CA

Type

Individual Provider

Address

665 N D St

San Bernardino, CA 924011109

Phone

9097088168

NPI

1750470795

Procedures

2

Total Claims

159

Patients Served

157

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 $0.00 144 144
Dental Filling $0.00 15 13

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