Based on public Medicaid payment data.
Jonggoo Park
Medicaid Provider in Fountain Valley, CA
Type
Individual Provider
Address
18444 Brookhurst St
Fountain Valley, CA 927086706
Phone
7149622471
NPI
1003394313
Procedures
1
Total Claims
12
Patients Served
12
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 | $66.00 | 12 | 12 |
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