Based on public Medicaid payment data.
Minsung Kim
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
520 E Manchester Ave
Los Angeles, CA 900033525
Phone
7185219417
NPI
1447969753
Procedures
5
Total Claims
3.7K
Patients Served
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 | $67.32 | 2,083 | 2,082 |
| Dental Filling | $66.47 | 1,238 | 659 |
| Tooth Extraction | $89.75 | 179 | 96 |
| Dental Crown | $464.95 | 140 | 111 |
| Root Canal | $463.40 | 14 | 12 |
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