Based on public Medicaid payment data.
Myung Shin Kim
Medicaid Provider in La Mirada, CA
Type
Individual Provider
Address
15500 La Mirada Blvd
La Mirada, CA 906385400
Phone
7145223000
NPI
1386789170
Procedures
3
Total Claims
5.9K
Patients Served
5.7K
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 | $50.08 | 5,103 | 5,056 |
| Dental Filling | $53.91 | 675 | 598 |
| Tooth Extraction | $56.58 | 140 | 88 |
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