Based on public Medicaid payment data.
Shin Joseph Kim
Medicaid Provider in Camp Pendleton, CA
Type
Individual Provider
Address
13128 14Th Street
Camp Pendleton, CA 92058
Phone
7607631126
NPI
1154645661
Procedures
2
Total Claims
638
Patients Served
300
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 |
|---|---|---|---|
| Tooth Extraction | $137.52 | 606 | 268 |
| Dental Cleaning & Exam | $57.62 | 32 | 32 |
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