Based on public Medicaid payment data.
Heivi Min Ryung Kim
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
5877 S Vermont Ave
Los Angeles, CA 900443741
Phone
2137180811
NPI
1295145548
Procedures
4
Total Claims
34.7K
Patients Served
27.6K
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 | $46.07 | 20,352 | 20,284 |
| Dental Filling | $64.45 | 8,871 | 4,841 |
| Root Canal | $98.00 | 2,768 | 954 |
| Tooth Extraction | $57.08 | 2,705 | 1,547 |
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