Based on public Medicaid payment data.
Ody Zoma
Medicaid Provider in San Bernardino, CA
Type
Individual Provider
Address
2094 E Highland Ave
San Bernardino, CA 924044626
Phone
9093882427
NPI
1982194205
Procedures
3
Total Claims
6K
Patients Served
5.9K
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 | $54.10 | 5,774 | 5,768 |
| Dental Filling | $64.82 | 127 | 96 |
| Tooth Extraction | $103.60 | 60 | 41 |
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