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Based on public Medicaid payment data.

Annie Youngeun Park

Medicaid Provider in Los Angeles, CA

Type

Individual Provider

Address

5877 S Vermont Ave

Los Angeles, CA 900443741

Phone

3237591523

NPI

1033767579

Procedures

3

Total Claims

661

Patients Served

561

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 $37.71 413 413
Dental Filling $65.10 162 92
Tooth Extraction $57.40 86 56

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