Based on public Medicaid payment data.
Irving Moore Feldkamp Iii
Medicaid Provider in San Bernardino, CA
Type
Individual Provider
Address
164 W Hospitality Ln Ste 14
San Bernardino, CA 924083329
Phone
9098886919
NPI
1770815953
Procedures
5
Total Claims
13K
Patients Served
11K
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 | $66.64 | 8,085 | 8,063 |
| Dental Filling | $64.64 | 3,508 | 2,053 |
| Tooth Extraction | $114.77 | 1,264 | 730 |
| Dental Crown | $475.90 | 99 | 89 |
| Root Canal | $463.40 | 50 | 48 |
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