Based on public Medicaid payment data.
Seokwon Kwon
Medicaid Provider in Garden Grove, CA
Type
Individual Provider
Address
13133 Harbor Blvd
Garden Grove, CA 928431717
Phone
7145378770
NPI
1811440258
Procedures
3
Total Claims
10.6K
Patients Served
9.3K
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 | $33.39 | 8,628 | 8,272 |
| Dental Filling | $76.21 | 1,715 | 878 |
| Tooth Extraction | $71.40 | 243 | 173 |
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