Based on public Medicaid payment data.
John Park
Medicaid Provider in Santa Monica, CA
Type
Individual Provider
Address
2825 Santa Monica Blvd Ste 310
Santa Monica, CA 904042429
Phone
3108280700
NPI
1255095386
Procedures
1
Total Claims
42
Patients Served
42
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 | $66.00 | 42 | 42 |
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