Based on public Medicaid payment data.
Sean Kim
Medicaid Provider in Lake Forest, CA
Type
Individual Provider
Address
23772 Mercury Rd
Lake Forest, CA 926302810
Phone
2137137922
NPI
1790099174
Procedures
3
Total Claims
1.7K
Patients Served
1.5K
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 | $63.54 | 1,353 | 1,352 |
| Dental Filling | $57.24 | 324 | 126 |
| Dental Crown | $476.00 | 68 | 46 |
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