Based on public Medicaid payment data.
Soo Kyung Song
Medicaid Provider in Pasadena, CA
Type
Individual Provider
Address
686 E Union Street
Pasadena, CA 911015828
Phone
6264601002
NPI
1750740072
Procedures
4
Total Claims
1.6K
Patients Served
1K
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 | $56.71 | 651 | 646 |
| Dental Filling | $68.80 | 340 | 135 |
| Root Canal | $99.09 | 319 | 129 |
| Tooth Extraction | $57.40 | 313 | 97 |
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