Based on public Medicaid payment data.
Byoungsoo Kim
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
5877 S Vermont Ave
Los Angeles, CA 900443741
Phone
3237591523
NPI
1760253363
Procedures
3
Total Claims
958
Patients Served
792
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 | $56.27 | 543 | 543 |
| Dental Filling | $60.49 | 397 | 233 |
| Tooth Extraction | $57.40 | 18 | 16 |
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