Based on public Medicaid payment data.
Soo Youn Si
Medicaid Provider in Sacramento, CA
Type
Individual Provider
Address
40 Park City Ct Apt 1203
Sacramento, CA 958313896
Phone
7343584749
NPI
1063962975
Procedures
3
Total Claims
2K
Patients Served
1.9K
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 | $12.87 | 1,521 | 1,489 |
| Dental Filling | $33.36 | 500 | 445 |
| Tooth Extraction | $23.26 | 19 | 12 |
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