Based on public Medicaid payment data.
Sean Lee
Medicaid Provider in San Bernardino, CA
Type
Individual Provider
Address
4016 University Pkwy
San Bernardino, CA 924071821
Phone
9098801600
NPI
1497912281
Procedures
3
Total Claims
1.1K
Patients Served
1K
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 | $42.88 | 982 | 979 |
| Tooth Extraction | $52.38 | 103 | 52 |
| Dental Filling | $63.20 | 21 | 13 |
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