Based on public Medicaid payment data.
Samuel Kim
Medicaid Provider in La Crescenta, CA
Type
Individual Provider
Address
3441 Burritt Way
La Crescenta, CA 91214
Phone
2134228163
NPI
1952841793
Procedures
3
Total Claims
21.6K
Patients Served
19.7K
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 | $52.53 | 16,946 | 16,824 |
| Dental Filling | $61.99 | 4,144 | 2,570 |
| Tooth Extraction | $69.92 | 524 | 295 |
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