Based on public Medicaid payment data.
Kyoung Whan Kwak
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
981 S Western Ave
Los Angeles, CA 900061005
Phone
3237310707
NPI
1306035746
Procedures
2
Total Claims
4.3K
Patients Served
4.3K
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 | $68.19 | 4,293 | 4,281 |
| Tooth Extraction | $57.40 | 15 | 12 |
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