Based on public Medicaid payment data.
Keon Jung Kim
Medicaid Provider in Irvine, CA
Type
Individual Provider
Address
2 Osborn #160
Irvine, CA 92604
Phone
9496796000
NPI
1831265651
Procedures
3
Total Claims
14.3K
Patients Served
12.3K
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 | $58.95 | 9,310 | 9,286 |
| Dental Filling | $59.78 | 4,775 | 2,837 |
| Tooth Extraction | $123.92 | 237 | 150 |
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