Based on public Medicaid payment data.
Audrey Kim
Medicaid Provider in Hollister, CA
Type
Individual Provider
Address
930 Sunnyslope Rd Ste B3
Hollister, CA 950235616
Phone
8316474627
NPI
1053667832
Procedures
2
Total Claims
344
Patients Served
216
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 |
|---|---|---|---|
| Tooth Extraction | $113.59 | 286 | 158 |
| Dental Cleaning & Exam | $48.36 | 58 | 58 |
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