Based on public Medicaid payment data.
Marie Kim
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
3054 W 8Th St Ste 106
Los Angeles, CA 900051895
Phone
2133872864
NPI
1144753260
Procedures
4
Total Claims
12.3K
Patients Served
9.3K
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 | $65.86 | 6,866 | 6,831 |
| Dental Filling | $60.36 | 4,894 | 2,106 |
| Tooth Extraction | $118.55 | 266 | 153 |
| Dental Crown | $476.00 | 232 | 168 |
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