Based on public Medicaid payment data.
Matthew Kim
Medicaid Provider in Lodi, CA
Type
Individual Provider
Address
1101 W Tokay St Ste 2
Lodi, CA 952403842
Phone
2093340760
NPI
1184399529
Procedures
3
Total Claims
6.2K
Patients Served
6.1K
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 | $65.80 | 5,917 | 5,848 |
| Dental Filling | $62.07 | 298 | 234 |
| Tooth Extraction | $119.00 | 18 | 12 |
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