Based on public Medicaid payment data.
Soon Rye Kwon
Medicaid Provider in Loma Linda, CA
Type
Individual Provider
Address
25466 Orange Crest Way
Loma Linda, CA 92354
Phone
9096779699
NPI
1972851798
Procedures
4
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 | $50.99 | 1,565 | 1,565 |
| Dental Filling | $64.19 | 491 | 331 |
| Tooth Extraction | $93.51 | 87 | 51 |
| Root Canal | $99.40 | 53 | 28 |
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