Based on public Medicaid payment data.
Annie Ko
Medicaid Provider in Redondo Beach, CA
Type
Individual Provider
Address
1711 Via El Prado Ste 400B
Redondo Beach, CA 902775728
Phone
3107928610
NPI
1356609267
Procedures
3
Total Claims
3.4K
Patients Served
3.3K
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 | $45.95 | 3,158 | 3,121 |
| Dental Filling | $60.26 | 208 | 144 |
| Tooth Extraction | $57.40 | 18 | 14 |
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