Based on public Medicaid payment data.
Ray Ahn
Medicaid Provider in Pasadena, CA
Type
Individual Provider
Address
2301 E Washington Blvd
Pasadena, CA 911041947
Phone
6267974121
NPI
1023412848
Procedures
5
Total Claims
2.3K
Patients Served
1.9K
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 | $64.79 | 1,340 | 1,338 |
| Dental Filling | $68.00 | 581 | 355 |
| Tooth Extraction | $118.51 | 244 | 98 |
| Dental Crown | $476.00 | 142 | 100 |
| Root Canal | $463.40 | 29 | 27 |
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