Based on public Medicaid payment data.
Gi Won Seo
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
2418 Hillcrest Dr
Los Angeles, CA 900161663
Phone
2133594032
NPI
1093167801
Procedures
5
Total Claims
34.7K
Patients Served
21.4K
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 Filling | $64.74 | 13,180 | 5,903 |
| Dental Cleaning & Exam | $50.18 | 12,584 | 12,565 |
| Root Canal | $98.98 | 5,461 | 1,387 |
| Tooth Extraction | $57.53 | 3,453 | 1,483 |
| Dental Crown | $476.00 | 45 | 32 |
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