Based on public Medicaid payment data.
Kim-Phung Thi Ha
Medicaid Provider in Pomona, CA
Type
Individual Provider
Address
756 E Holt Ave
Pomona, CA 917675628
Phone
9096228622
NPI
1205986221
Procedures
3
Total Claims
14.8K
Patients Served
12.7K
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 | $49.75 | 10,133 | 10,066 |
| Dental Filling | $61.70 | 3,193 | 1,828 |
| Tooth Extraction | $55.32 | 1,484 | 788 |
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