Based on public Medicaid payment data.
Jessica Yoon Kyung Pack
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
1234 Wilshire Blvd Apt 212
Los Angeles, CA 900171974
Phone
8184277543
NPI
1013365881
Procedures
4
Total Claims
303
Patients Served
172
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 | $67.20 | 118 | 56 |
| Root Canal | $99.40 | 88 | 54 |
| Tooth Extraction | $57.40 | 73 | 38 |
| Dental Cleaning & Exam | $66.00 | 24 | 24 |
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