Based on public Medicaid payment data.
Jessica Kwon
Medicaid Provider in San Jacinto, CA
Type
Individual Provider
Address
1643 S San Jacinto Ave Ste A
San Jacinto, CA 925835181
Phone
9516547744
NPI
1043731433
Procedures
4
Total Claims
915
Patients Served
895
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 | $52.92 | 799 | 799 |
| Dental Filling | $61.62 | 67 | 54 |
| Tooth Extraction | $57.40 | 35 | 29 |
| Root Canal | $99.40 | 14 | 13 |
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