Based on public Medicaid payment data.
James S Shon
Medicaid Provider in Garden Grove, CA
Type
Individual Provider
Address
12752 Garden Grove Blvd Ste 200
Garden Grove, CA 928431924
Phone
7146362595
NPI
1043744139
Procedures
4
Total Claims
2.2K
Patients Served
1.7K
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 Filling | $68.55 | 1,071 | 576 |
| Dental Cleaning & Exam | $61.76 | 1,007 | 1,003 |
| Tooth Extraction | $93.81 | 77 | 41 |
| Dental Crown | $476.00 | 76 | 57 |
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