Based on public Medicaid payment data.
Jong Min Kong
Medicaid Provider in Costa Mesa, CA
Type
Individual Provider
Address
270 E 17Th St Ste 15
Costa Mesa, CA 926273845
Phone
7142240480
NPI
1912631235
Procedures
2
Total Claims
290
Patients Served
255
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 | $63.62 | 223 | 223 |
| Dental Filling | $68.66 | 67 | 32 |
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