Based on public Medicaid payment data.
Kyoung Won Han
Medicaid Provider in San Diego, CA
Type
Individual Provider
Address
43000 Midway Ave Bldg 595
San Diego, CA 921405692
Phone
6195244009
NPI
1063063774
Procedures
2
Total Claims
350
Patients Served
346
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 | $33.57 | 309 | 309 |
| Dental Filling | $62.40 | 41 | 37 |
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