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Based on public Medicaid payment data.

Sandra Azer Shenouda

Medicaid Provider in San Bernardino, CA

Type

Individual Provider

Address

1199 N E St

San Bernardino, CA 924103507

Phone

9092698472

NPI

1902477979

Procedures

2

Total Claims

1.5K

Patients Served

1.4K

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 $57.87 1,175 1,175
Dental Filling $59.58 285 193

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