Based on public Medicaid payment data.
James Keonuk Park
Medicaid Provider in Fullerton, CA
Type
Individual Provider
Address
1950 Sunnycrest Dr
Fullerton, CA 928353638
Phone
7148706120
NPI
1780721852
Procedures
3
Total Claims
6.5K
Patients Served
6.4K
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 | $50.25 | 6,431 | 6,418 |
| Dental Filling | $67.20 | 21 | 13 |
| Tooth Extraction | $44.63 | 19 | 14 |
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