Based on public Medicaid payment data.
Yoosuk Ko
Medicaid Provider in Peoria, IL
Type
Individual Provider
Address
1403 W Glen Ave
Peoria, IL 616144705
Phone
8889884066
NPI
1861915506
Procedures
3
Total Claims
42.7K
Patients Served
37.6K
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 | $32.14 | 31,288 | 30,669 |
| Tooth Extraction | $76.78 | 5,768 | 3,275 |
| Dental Filling | $84.46 | 5,609 | 3,676 |
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