Based on public Medicaid payment data.
Jesse Gawsung Kim
Medicaid Provider in Goleta, CA
Type
Individual Provider
Address
7190 Davenport Rd Apt 110
Goleta, CA 931172932
Phone
4084970161
NPI
1023398344
Procedures
2
Total Claims
6.2K
Patients Served
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 | $48.76 | 5,871 | 5,845 |
| Dental Filling | $56.04 | 287 | 166 |
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