Based on public Medicaid payment data.
Van Kim Nguyen
Medicaid Provider in Pomona, CA
Type
Individual Provider
Address
1182 E Holt Ave
Pomona, CA 917675833
Phone
9096231199
NPI
1225220890
Procedures
4
Total Claims
3.3K
Patients Served
1.8K
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 |
|---|---|---|---|
| Root Canal | $99.01 | 1,526 | 628 |
| Dental Filling | $63.85 | 997 | 533 |
| Dental Cleaning & Exam | $56.33 | 416 | 416 |
| Tooth Extraction | $57.40 | 330 | 206 |
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