Based on public Medicaid payment data.
Sally Minji Kim
Medicaid Provider in Hesperia, CA
Type
Individual Provider
Address
14661 Main St
Hesperia, CA 923453308
Phone
7602445047
NPI
1356899033
Procedures
4
Total Claims
18.5K
Patients Served
11.1K
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 Filling | $66.86 | 7,577 | 2,988 |
| Dental Cleaning & Exam | $57.53 | 6,481 | 6,448 |
| Tooth Extraction | $55.40 | 2,322 | 902 |
| Root Canal | $96.50 | 2,113 | 795 |
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