Based on public Medicaid payment data.
Rosendo Garza
Medicaid Provider in San Bernardino, CA
Type
Individual Provider
Address
275 E 33Rd St
San Bernardino, CA 924042224
Phone
9096445363
NPI
1205031119
Procedures
4
Total Claims
3.8K
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 | $56.68 | 2,914 | 2,900 |
| Dental Filling | $61.28 | 834 | 431 |
| Dental Crown | $476.00 | 44 | 32 |
| Tooth Extraction | $119.00 | 34 | 24 |
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