Based on public Medicaid payment data.
Ki Hun Sung
Medicaid Provider in Pomona, CA
Type
Individual Provider
Address
819 E Mission Blvd
Pomona, CA 917662045
Phone
3109951783
NPI
1144606880
Procedures
4
Total Claims
71.3K
Patients Served
45.2K
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 | $40.82 | 26,946 | 26,822 |
| Dental Filling | $63.68 | 18,696 | 9,771 |
| Root Canal | $99.18 | 15,609 | 4,053 |
| Tooth Extraction | $57.18 | 10,015 | 4,571 |
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