Based on public Medicaid payment data.
Jim Sang Park
Medicaid Provider in Riverside, CA
Type
Individual Provider
Address
4710 La Sierra Ave
Riverside, CA 925052726
Phone
9513248180
NPI
1912116104
Procedures
2
Total Claims
2.5K
Patients Served
2.4K
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 | $25.78 | 2,331 | 2,308 |
| Dental Filling | $69.04 | 123 | 69 |
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