Based on public Medicaid payment data.
Suk Won Kim
Medicaid Provider in Daly City, CA
Type
Individual Provider
Address
211 Eastmoor Ave
Daly City, CA 940152036
Phone
6505503923
NPI
1750024238
Procedures
2
Total Claims
608
Patients Served
529
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 | $13.38 | 578 | 504 |
| Dental Filling | $15.84 | 30 | 25 |
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