Based on public Medicaid payment data.
Andrew Juhwan Lim
Medicaid Provider in Hesperia, CA
Type
Individual Provider
Address
15550 Main St Ste B7
Hesperia, CA 923453491
Phone
7609477777
NPI
1144384967
Procedures
5
Total Claims
21K
Patients Served
18.1K
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 | $59.55 | 14,723 | 14,659 |
| Dental Filling | $65.83 | 5,022 | 2,786 |
| Tooth Extraction | $127.34 | 963 | 407 |
| Dental Crown | $476.00 | 133 | 110 |
| Root Canal | $463.40 | 122 | 114 |
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