Based on public Medicaid payment data.
David C Koo
Medicaid Provider in Arcadia, CA
Type
Individual Provider
Address
111 E Live Oak Ave
Arcadia, CA 910065240
Phone
6264451181
NPI
1720175300
Procedures
3
Total Claims
4K
Patients Served
3.8K
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 | $34.64 | 3,631 | 3,604 |
| Tooth Extraction | $63.01 | 251 | 125 |
| Dental Filling | $51.92 | 160 | 102 |
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