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Based on public Medicaid payment data.

Eugenie Heo Kim

Medicaid Provider in Hesperia, CA

Type

Individual Provider

Address

14661 Main St

Hesperia, CA 923453308

Phone

9095220163

NPI

1487096699

Procedures

5

Total Claims

49.1K

Patients Served

42K

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 $60.79 30,792 30,685
Dental Filling $63.08 13,171 7,841
Tooth Extraction $101.62 3,729 2,266
Root Canal $278.55 741 692
Dental Crown $474.45 686 534

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