Based on public Medicaid payment data.
Jayden Jaeok Kim
Medicaid Provider in Loma Linda, CA
Type
Individual Provider
Address
11234 Anderson St
Loma Linda, CA 923542804
Phone
9095584671
NPI
1033854690
Procedures
1
Total Claims
570
Patients Served
235
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 |
|---|---|---|---|
| Tooth Extraction | $112.88 | 570 | 235 |
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