Based on public Medicaid payment data.
Dong Won Kim
Medicaid Provider in Ontario, CA
Type
Individual Provider
Address
2295 S Vineyard Ave
Ontario, CA 917617925
Phone
9097242020
NPI
1386816262
Procedures
1
Total Claims
62
Patients Served
24
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 |
|---|---|---|---|
| Radiation Therapy | $632.18 | 62 | 24 |
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