Based on public Medicaid payment data.
Kyung A Lim
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
827 S Berendo St Apt 202
Los Angeles, CA 900054941
Phone
2132192530
NPI
1003010372
Procedures
2
Total Claims
1.8K
Patients Served
1.8K
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 | $49.44 | 1,830 | 1,795 |
| Dental Filling | $67.20 | 17 | 13 |
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