Based on public Medicaid payment data.
Seon Mi Roh
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
5520 Santa Monica Blvd Ste 104
Los Angeles, CA 900384089
Phone
3239622828
NPI
1689729014
Procedures
3
Total Claims
1.9K
Patients Served
1.8K
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 | $53.08 | 1,766 | 1,758 |
| Dental Filling | $51.91 | 110 | 74 |
| Tooth Extraction | $57.40 | 20 | 13 |
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