Based on public Medicaid payment data.
Hayeun Kim
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
2805 S San Pedro St
Los Angeles, CA 900112023
Phone
3238468443
NPI
1588189179
Procedures
4
Total Claims
30.5K
Patients Served
23.5K
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 | $36.88 | 15,229 | 15,198 |
| Dental Filling | $61.99 | 9,352 | 5,457 |
| Tooth Extraction | $57.30 | 3,754 | 1,948 |
| Root Canal | $99.23 | 2,169 | 909 |
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