Based on public Medicaid payment data.
Simon Wong
Medicaid Provider in Glendale, CA
Type
Individual Provider
Address
1111 N Brand Blvd Ste B
Glendale, CA 912023072
Phone
8182464068
NPI
1740245646
Procedures
2
Total Claims
2.2K
Patients Served
2K
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 | $68.66 | 1,930 | 1,924 |
| Tooth Extraction | $117.14 | 256 | 94 |
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