Based on public Medicaid payment data.
Jongson Pak
Medicaid Provider in Diamond Bar, CA
Type
Individual Provider
Address
888 Brea Canyon Rd Ste 360
Diamond Bar, CA 917893096
Phone
6264042222
NPI
1982861894
Procedures
1
Total Claims
41
Patients Served
41
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 | $54.59 | 41 | 41 |
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