Based on public Medicaid payment data.
Susan Haiweon Kim
Medicaid Provider in Cerritos, CA
Type
Individual Provider
Address
11900 South St Ste 122
Cerritos, CA 907036800
Phone
5628096177
NPI
1497171904
Procedures
3
Total Claims
6.3K
Patients Served
5.6K
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 | $41.15 | 4,564 | 4,557 |
| Dental Filling | $65.49 | 1,273 | 740 |
| Tooth Extraction | $53.84 | 448 | 254 |
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