Based on public Medicaid payment data.
So Eun Park
Medicaid Provider in Davenport, IA
Type
Individual Provider
Address
3301 W Kimberly Rd Ste 5
Davenport, IA 528063047
Phone
8889884066
NPI
1871071621
Procedures
3
Total Claims
14.8K
Patients Served
13.1K
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 | $24.09 | 11,090 | 10,542 |
| Dental Filling | $52.53 | 2,394 | 1,765 |
| Tooth Extraction | $52.30 | 1,353 | 791 |
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