Based on public Medicaid payment data.
Timothy Y Kim
Medicaid Provider in Antioch, CA
Type
Individual Provider
Address
5117 Lone Tree Way
Antioch, CA 945318484
Phone
3103658643
NPI
1609482587
Procedures
2
Total Claims
120
Patients Served
65
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 Filling | $75.00 | 84 | 29 |
| Dental Cleaning & Exam | $66.00 | 36 | 36 |
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