Based on public Medicaid payment data.
Iliana Cuellar
Medicaid Provider in San Bernardino, CA
Type
Individual Provider
Address
1063 North D Street
San Bernardino, CA 92410
Phone
3235825411
NPI
1134270606
Procedures
5
Total Claims
6.5K
Patients Served
5.2K
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 | $47.26 | 3,627 | 3,619 |
| Dental Filling | $61.74 | 1,950 | 1,070 |
| Tooth Extraction | $65.54 | 752 | 430 |
| Dental Crown | $471.63 | 109 | 55 |
| Root Canal | $63.00 | 13 | 12 |
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