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Based on public Medicaid payment data.

Boram Yoo

Medicaid Provider in Santa Monica, CA

Type

Individual Provider

Address

1128 19Th St

Santa Monica, CA 904035629

Phone

3104063000

NPI

1033563291

Procedures

4

Total Claims

4.9K

Patients Served

3.4K

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 $37.74 2,022 2,021
Dental Filling $59.83 1,918 907
Tooth Extraction $58.45 844 371
Root Canal $99.40 112 56

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