Based on public Medicaid payment data.
Eunice Gowoon Kim
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
2805 S San Pedro St
Los Angeles, CA 900112023
Phone
7089490395
NPI
1275019143
Procedures
4
Total Claims
73.1K
Patients Served
52.5K
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 | $52.17 | 35,043 | 34,683 |
| Dental Filling | $63.73 | 24,171 | 12,067 |
| Tooth Extraction | $57.30 | 7,103 | 3,576 |
| Root Canal | $99.25 | 6,737 | 2,124 |
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