Based on public Medicaid payment data.
Jung Hyeb Sim
Medicaid Provider in Carson, CA
Type
Individual Provider
Address
602 W Sepulveda Blvd
Carson, CA 907456319
Phone
3108303338
NPI
1134254683
Procedures
5
Total Claims
6.9K
Patients Served
6.2K
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 | $41.63 | 5,180 | 5,172 |
| Dental Filling | $64.45 | 1,541 | 869 |
| Root Canal | $459.11 | 108 | 89 |
| Tooth Extraction | $119.00 | 24 | 13 |
| Dental Crown | $462.78 | 18 | 12 |
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