Based on public Medicaid payment data.
Daniel Yoon
Medicaid Provider in San Diego, CA
Type
Individual Provider
Address
11468 Via Promesa
San Diego, CA 921242327
Phone
8584424581
NPI
1396106514
Procedures
4
Total Claims
22.1K
Patients Served
20.1K
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 | $45.59 | 18,378 | 18,229 |
| Dental Filling | $90.32 | 3,232 | 1,557 |
| Tooth Extraction | $54.10 | 301 | 207 |
| Root Canal | $80.42 | 217 | 111 |
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