Based on public Medicaid payment data.
Sam Daniel Dason
Medicaid Provider in San Bernardino, CA
Type
Individual Provider
Address
575 W 5Th Street
San Bernardino, CA 92401
Phone
9098886581
NPI
1871658955
Procedures
3
Total Claims
1.6K
Patients Served
1.5K
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 | $60.15 | 1,377 | 1,369 |
| Dental Filling | $61.36 | 179 | 93 |
| Dental Crown | $469.90 | 78 | 53 |
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