Based on public Medicaid payment data.
Daniel C Park
Medicaid Provider in Beaumont, CA
Type
Individual Provider
Address
1202 Beaumont Ave
Beaumont, CA 922231506
Phone
9518452661
NPI
1598803116
Procedures
4
Total Claims
10.3K
Patients Served
9.2K
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 | $60.67 | 6,884 | 6,860 |
| Dental Filling | $62.75 | 3,341 | 2,257 |
| Dental Crown | $468.90 | 67 | 57 |
| Tooth Extraction | $118.48 | 57 | 25 |
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