Based on public Medicaid payment data.
Justin Im
Medicaid Provider in Apple Valley, CA
Type
Individual Provider
Address
18564 Us Highway 18 Ste 301
Apple Valley, CA 923072340
Phone
0790760490
NPI
1316520364
Procedures
1
Total Claims
1.1K
Patients Served
1.1K
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 | $55.26 | 1,050 | 1,050 |
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