Based on public Medicaid payment data.
Gordon Soule Kilmer
Medicaid Provider in Irvine, CA
Type
Individual Provider
Address
4980 Barranca Pkwy
Irvine, CA 926048645
Phone
9495516913
NPI
1518055292
Procedures
1
Total Claims
282
Patients Served
282
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 | $34.88 | 282 | 282 |
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