Based on public Medicaid payment data.
Diana Maria Kim
Medicaid Provider in Colton, CA
Type
Individual Provider
Address
827 W Valley Blvd
Colton, CA 923242001
Phone
9098252175
NPI
1861957870
Procedures
3
Total Claims
2.3K
Patients Served
1.6K
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 Filling | $55.74 | 1,130 | 497 |
| Dental Cleaning & Exam | $64.27 | 1,097 | 1,095 |
| Dental Crown | $469.10 | 69 | 46 |
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