Based on public Medicaid payment data.
Johnny K Kim
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
906 N Vermont Ave
Los Angeles, CA 900293519
Phone
3236174180
NPI
1528155819
Procedures
5
Total Claims
17.9K
Patients Served
10.2K
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 Filling | $60.27 | 10,202 | 3,168 |
| Dental Cleaning & Exam | $66.64 | 6,343 | 6,324 |
| Dental Crown | $475.34 | 726 | 367 |
| Tooth Extraction | $116.00 | 437 | 208 |
| Root Canal | $401.56 | 187 | 130 |
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