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Based on public Medicaid payment data.

Sung Wook Park

Medicaid Provider in La Mirada, CA

Type

Individual Provider

Address

14930 Imperial Hwy Ste D

La Mirada, CA 906382100

Phone

5627771234

NPI

1578088779

Procedures

1

Total Claims

324

Patients Served

324

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 $65.54 324 324

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