Based on public Medicaid payment data.
Sooyeol Sohn
Medicaid Provider in Covina, CA
Type
Individual Provider
Address
230 W Badillo St
Covina, CA 917231906
Phone
6263322775
NPI
1114476975
Procedures
2
Total Claims
151
Patients Served
140
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 | $49.87 | 128 | 128 |
| Tooth Extraction | $93.13 | 23 | 12 |
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