Based on public Medicaid payment data.
Sam Y.H. Kim
Medicaid Provider in Olivehurst, CA
Type
Individual Provider
Address
4941 Olivehurst Ave
Olivehurst, CA 959614225
Phone
5307434611
NPI
1073540621
Procedures
4
Total Claims
4.3K
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 Filling | $65.18 | 1,648 | 1,041 |
| Dental Cleaning & Exam | $38.42 | 1,302 | 1,302 |
| Root Canal | $99.13 | 894 | 413 |
| Tooth Extraction | $57.06 | 434 | 264 |
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