Based on public Medicaid payment data.
Ilcheon Joo
Medicaid Provider in Pine Grove, PA
Type
Individual Provider
Address
46 Mifflin St
Pine Grove, PA 179631318
Phone
5703453495
NPI
1063530509
Procedures
2
Total Claims
2.4K
Patients Served
2.1K
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 | $27.73 | 1,649 | 1,642 |
| Dental Filling | $59.10 | 704 | 432 |
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