Based on public Medicaid payment data.
In Gi Son
Medicaid Provider in San Bernardino, CA
Type
Individual Provider
Address
1136 N Mount Vernon Ave
San Bernardino, CA 924112279
Phone
4156723509
NPI
1629680053
Procedures
4
Total Claims
68.1K
Patients Served
50.7K
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 | $58.34 | 35,031 | 34,631 |
| Dental Filling | $64.14 | 17,724 | 9,407 |
| Tooth Extraction | $57.25 | 8,547 | 4,295 |
| Root Canal | $99.25 | 6,825 | 2,344 |
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