Based on public Medicaid payment data.
Kiddee Poomprakobsri
Medicaid Provider in Loma Linda, CA
Type
Individual Provider
Address
11092 Anderson St Loma Linda University School Of
Loma Linda, CA 923500001
Phone
9095584222
NPI
1841712494
Procedures
4
Total Claims
914
Patients Served
559
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 | $22.26 | 390 | 373 |
| Root Canal | $96.54 | 278 | 93 |
| Dental Filling | $66.28 | 196 | 68 |
| Tooth Extraction | $54.53 | 50 | 25 |
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