Based on public Medicaid payment data.
William Dae Won Kim
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
906 N Vermont Ave
Los Angeles, CA 900293519
Phone
3235223382
NPI
1366923146
Procedures
5
Total Claims
1.9K
Patients Served
1.4K
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 | $49.60 | 721 | 721 |
| Dental Crown | $475.81 | 629 | 401 |
| Dental Filling | $63.34 | 352 | 183 |
| Root Canal | $450.46 | 106 | 86 |
| Tooth Extraction | $87.24 | 64 | 25 |
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