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Based on public Medicaid payment data.

Soo Tae Park

Medicaid Provider in Lancaster, CA

Type

Individual Provider

Address

44841 N 10Th St W

Lancaster, CA 93534

Phone

6619481655

NPI

1124084728

Procedures

4

Total Claims

1.1K

Patients Served

811

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
Tooth Extraction $116.77 654 359
Dental Cleaning & Exam $64.63 424 424
Dental Crown $476.00 17 14
Root Canal $63.00 14 14

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