Based on public Medicaid payment data.
Samuel Bo Rum Oh
Medicaid Provider in Prosper, TX
Type
Individual Provider
Address
3620 W 1St St Ste 40
Prosper, TX 750783493
Phone
4695199951
NPI
1194105809
Procedures
4
Total Claims
14.9K
Patients Served
9.4K
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 | $27.50 | 6,241 | 6,100 |
| Root Canal | $79.32 | 4,123 | 1,317 |
| Tooth Extraction | $57.02 | 2,567 | 1,024 |
| Dental Filling | $79.84 | 1,946 | 991 |
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