Based on public Medicaid payment data.
Sae Rom Kim
Medicaid Provider in Calexico, CA
Type
Individual Provider
Address
2300 N Imperial Ave Ste E
Calexico, CA 922313209
Phone
7603571632
NPI
1457484438
Procedures
2
Total Claims
746
Patients Served
682
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 | $43.48 | 601 | 601 |
| Dental Filling | $67.20 | 145 | 81 |
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