Based on public Medicaid payment data.
Pranee V Pooudomsak
Medicaid Provider in San Bernardino, CA
Type
Individual Provider
Address
1850 S Waterman Ave Ste B
San Bernardino, CA 924082852
Phone
9098901529
NPI
1750687984
Procedures
2
Total Claims
3.3K
Patients Served
3K
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 | $61.29 | 2,624 | 2,624 |
| Dental Filling | $62.80 | 637 | 382 |
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