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Based on public Medicaid payment data.

Luis Alfredo Velazquez

Medicaid Provider in San Bernardino, CA

Type

Individual Provider

Address

189 N E St

San Bernardino, CA 924011901

Phone

9093838328

NPI

1265972756

Procedures

4

Total Claims

4.2K

Patients Served

3.4K

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 $71.02 2,249 2,242
Dental Filling $68.51 1,526 828
Dental Crown $471.83 371 270
Tooth Extraction $117.35 72 41

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