Based on public Medicaid payment data.
Jason Hien Ta
Medicaid Provider in Monterey Park, CA
Type
Individual Provider
Address
2111 S Atlantic Blvd
Monterey Park, CA 917546801
Phone
3232619999
NPI
1023200979
Procedures
3
Total Claims
1.3K
Patients Served
964
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 | $66.68 | 758 | 755 |
| Dental Filling | $58.52 | 503 | 197 |
| Tooth Extraction | $119.00 | 17 | 12 |
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