Based on public Medicaid payment data.
David A Choi
Medicaid Provider in Pomona, CA
Type
Individual Provider
Address
920 N Garey Ave
Pomona, CA 917674618
Phone
9096299741
NPI
1235353145
Procedures
4
Total Claims
34.4K
Patients Served
27.8K
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 | $57.35 | 21,443 | 21,339 |
| Dental Filling | $60.93 | 10,192 | 4,885 |
| Tooth Extraction | $98.54 | 2,036 | 1,179 |
| Dental Crown | $475.30 | 684 | 415 |
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