Based on public Medicaid payment data.
Manuel Jean Ohannessian
Medicaid Provider in San Bernardino, CA
Type
Individual Provider
Address
654 W 4Th St Ste A
San Bernardino, CA 924103216
Phone
9093863650
NPI
1710035910
Procedures
4
Total Claims
12.7K
Patients Served
12.1K
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 | $48.44 | 11,351 | 11,257 |
| Dental Filling | $68.63 | 603 | 372 |
| Tooth Extraction | $98.46 | 517 | 305 |
| Dental Crown | $464.11 | 219 | 148 |
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