Based on public Medicaid payment data.
Derek Mok
Medicaid Provider in Sacramento, CA
Type
Individual Provider
Address
2020 J St
Sacramento, CA 958113120
Phone
5614630229
NPI
1902231269
Procedures
2
Total Claims
36
Patients Served
27
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 |
|---|---|---|---|
| Tooth Extraction | $1.86 | 22 | 14 |
| Dental Filling | $25.57 | 14 | 13 |
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