Based on public Medicaid payment data.
Young Kwun Kim
Medicaid Provider in Fontana, CA
Type
Individual Provider
Address
8110 Mango Ave
Fontana, CA 923353603
Phone
9098299324
NPI
1215264098
Procedures
4
Total Claims
2K
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 Cleaning & Exam | $59.11 | 1,302 | 1,298 |
| Dental Filling | $65.42 | 656 | 296 |
| Dental Crown | $476.00 | 23 | 15 |
| Tooth Extraction | $119.00 | 18 | 12 |
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