Based on public Medicaid payment data.
Jae Do Kim
Medicaid Provider in Fort Bragg, CA
Type
Individual Provider
Address
205 South St
Fort Bragg, CA 954375540
Phone
7079614088
NPI
1437501566
Procedures
3
Total Claims
252
Patients Served
229
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 | $0.83 | 211 | 202 |
| Dental Filling | $0.01 | 23 | 15 |
| Tooth Extraction | $0.00 | 18 | 12 |
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