Based on public Medicaid payment data.
Joo Hyon Jeon
Medicaid Provider in Ontario, CA
Type
Individual Provider
Address
3200 S Edenglen Ave
Ontario, CA 917613230
Phone
2135639595
NPI
1861262669
Procedures
4
Total Claims
584
Patients Served
329
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 | $63.11 | 387 | 192 |
| Root Canal | $96.88 | 79 | 43 |
| Dental Cleaning & Exam | $52.66 | 64 | 64 |
| Tooth Extraction | $57.40 | 54 | 30 |
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