Based on public Medicaid payment data.
Grace Mijin Kim
Medicaid Provider in Glendora, CA
Type
Individual Provider
Address
1770 S Barranca Ave
Glendora, CA 917405421
Phone
6263394600
NPI
1356641922
Procedures
2
Total Claims
666
Patients Served
612
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 | $52.18 | 574 | 572 |
| Dental Filling | $64.19 | 92 | 40 |
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