Based on public Medicaid payment data.
David S Park
Medicaid Provider in Rancho Cordova, CA
Type
Individual Provider
Address
10390 Coloma Rd Ste A
Rancho Cordova, CA 956702152
Phone
9163680440
NPI
1942410501
Procedures
5
Total Claims
26.8K
Patients Served
23.8K
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 |
|---|---|---|---|
| Dental Cleaning & Exam | $36.45 | 21,547 | 20,685 |
| Dental Filling | $44.69 | 3,440 | 2,317 |
| Tooth Extraction | $65.91 | 1,628 | 687 |
| Dental Crown | $421.99 | 145 | 111 |
| Root Canal | $228.64 | 41 | 27 |
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