Based on public Medicaid payment data.
Boung Kim
Medicaid Provider in Garden Grove, CA
Type
Individual Provider
Address
8754 Garden Grove Bld
Garden Grove, CA 90621
Phone
7145391200
NPI
1528502648
Procedures
2
Total Claims
2.7K
Patients Served
2.7K
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 | $62.80 | 2,629 | 2,623 |
| Dental Filling | $53.88 | 76 | 43 |
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