Based on public Medicaid payment data.
James M Sumilat
Medicaid Provider in San Bernardino, CA
Type
Individual Provider
Address
2035 E Highland Ave Ste B
San Bernardino, CA 924044600
Phone
9098647200
NPI
1679752653
Procedures
2
Total Claims
5.5K
Patients Served
5.5K
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 | $49.52 | 5,480 | 5,440 |
| Tooth Extraction | $57.40 | 20 | 12 |
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