Based on public Medicaid payment data.
John Jongcheol Park
Medicaid Provider in Pomona, CA
Type
Individual Provider
Address
819 E Mission Blvd
Pomona, CA 917662045
Phone
3109951783
NPI
1841925724
Procedures
4
Total Claims
19.5K
Patients Served
13.3K
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 | $60.78 | 9,170 | 9,139 |
| Dental Filling | $65.20 | 6,569 | 2,730 |
| Root Canal | $99.13 | 1,924 | 507 |
| Tooth Extraction | $58.83 | 1,872 | 883 |
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