Based on public Medicaid payment data.
Dong Jin Kim
Medicaid Provider in Cathedral City, CA
Type
Individual Provider
Address
69420 Ramon Rd
Cathedral City, CA 922343349
Phone
7602021171
NPI
1588875116
Procedures
4
Total Claims
2.7K
Patients Served
2.1K
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 | $69.99 | 1,423 | 1,418 |
| Dental Filling | $75.50 | 1,114 | 628 |
| Dental Crown | $476.00 | 94 | 73 |
| Tooth Extraction | $119.00 | 29 | 13 |
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