Based on public Medicaid payment data.
Yintawati A Satyarahardja
Medicaid Provider in San Bernardino, CA
Type
Individual Provider
Address
1199 N E St
San Bernardino, CA 924103507
Phone
9093816507
NPI
1275695553
Procedures
1
Total Claims
60
Patients Served
60
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 | $71.83 | 60 | 60 |
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