Based on public Medicaid payment data.
Amy Kim
Medicaid Provider in Cerritos, CA
Type
Individual Provider
Address
13158 Palm Pl
Cerritos, CA 907031344
Phone
5626774942
NPI
1528849676
Procedures
4
Total Claims
5.2K
Patients Served
4.7K
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 | $58.56 | 4,117 | 4,117 |
| Dental Filling | $61.91 | 795 | 444 |
| Root Canal | $98.96 | 228 | 111 |
| Tooth Extraction | $56.81 | 98 | 72 |
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