Based on public Medicaid payment data.
Min Soo Han
Medicaid Provider in Upland, CA
Type
Individual Provider
Address
2057 W Foothill Blvd
Upland, CA 917863548
Phone
9099820188
NPI
1972991503
Procedures
3
Total Claims
1.5K
Patients Served
1.4K
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 | $67.81 | 1,278 | 1,266 |
| Dental Filling | $57.10 | 153 | 72 |
| Dental Crown | $476.00 | 49 | 25 |
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