Based on public Medicaid payment data.
Bom Seok Jeon
Medicaid Provider in Fullerton, CA
Type
Individual Provider
Address
1401 S Brookhurst Rd
Fullerton, CA 928334492
Phone
7148792828
NPI
1295175859
Procedures
3
Total Claims
8.4K
Patients Served
7.3K
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 | $67.21 | 5,987 | 5,959 |
| Tooth Extraction | $55.06 | 1,848 | 1,109 |
| Dental Filling | $58.85 | 607 | 256 |
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