Based on public Medicaid payment data.
Lisa Seongah Kim
Medicaid Provider in La Puente, CA
Type
Individual Provider
Address
1643 N Hacienda Blvd
La Puente, CA 917441137
Phone
6265870100
NPI
1114615689
Procedures
4
Total Claims
7.7K
Patients Served
5.2K
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 | $60.01 | 3,405 | 3,400 |
| Dental Filling | $65.08 | 2,986 | 1,336 |
| Root Canal | $97.53 | 691 | 216 |
| Tooth Extraction | $56.82 | 595 | 293 |
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