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Based on public Medicaid payment data.

Hyun Il Kim

Medicaid Provider in Hesperia, CA

Type

Individual Provider

Address

16922 Main St Ste F

Hesperia, CA 923456011

Phone

7602444844

NPI

1043099591

Procedures

3

Total Claims

285

Patients Served

243

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 $67.64 166 165
Dental Crown $476.00 71 48
Dental Filling $57.57 48 30

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