Based on public Medicaid payment data.
Jonathan Gim
Medicaid Provider in Colton, CA
Type
Individual Provider
Address
1704 Tara Ridge Ct
Colton, CA 923249790
Phone
9092223010
NPI
1215618863
Procedures
1
Total Claims
13
Patients Served
13
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 | $60.92 | 13 | 13 |
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