Based on public Medicaid payment data.
Jason Jinyoung Kim
Medicaid Provider in La Mirada, CA
Type
Individual Provider
Address
15942 Ridgeview Ln
La Mirada, CA 906383489
Phone
9492943318
NPI
1386212991
Procedures
3
Total Claims
555
Patients Served
496
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 | $69.05 | 415 | 415 |
| Dental Filling | $66.60 | 112 | 68 |
| Tooth Extraction | $119.00 | 28 | 13 |
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