Based on public Medicaid payment data.
Keun Won Kim
Medicaid Provider in Manhattan Beach, CA
Type
Individual Provider
Address
1200 Rosecrans Ave Ste 210
Manhattan Beach, CA 902662470
Phone
3104140620
NPI
1376329391
Procedures
3
Total Claims
551
Patients Served
477
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 | $67.42 | 341 | 341 |
| Dental Filling | $61.11 | 180 | 112 |
| Tooth Extraction | $119.00 | 30 | 24 |
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