Based on public Medicaid payment data.
Erica Tammy Kim
Medicaid Provider in Northridge, CA
Type
Individual Provider
Address
18531 Roscoe Blvd Ste 207
Northridge, CA 913245968
Phone
8187721800
NPI
1083072540
Procedures
2
Total Claims
257
Patients Served
249
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 | $26.10 | 232 | 230 |
| Dental Filling | $64.51 | 25 | 19 |
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