Based on public Medicaid payment data.
Heesoo Ko
Medicaid Provider in Dededo, GU
Type
Individual Provider
Address
655 Harmon Loop Rd Ste 108
Dededo, GU 969296544
Phone
6716378334
NPI
1639200934
Procedures
4
Total Claims
1.2K
Patients Served
980
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 | $61.39 | 781 | 781 |
| Dental Filling | $83.90 | 253 | 128 |
| Tooth Extraction | $149.31 | 116 | 53 |
| Root Canal | $94.59 | 37 | 18 |
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