Based on public Medicaid payment data.
Doo Yong Lim
Medicaid Provider in Ontario, CA
Type
Individual Provider
Address
2200 S Mountain Ave Ste C
Ontario, CA 917626717
Phone
9093918801
NPI
1851791131
Procedures
5
Total Claims
12K
Patients Served
8.1K
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 | $62.06 | 4,070 | 1,726 |
| Dental Cleaning & Exam | $71.20 | 3,825 | 3,815 |
| Root Canal | $146.96 | 2,137 | 1,373 |
| Dental Crown | $472.02 | 1,159 | 702 |
| Tooth Extraction | $113.09 | 806 | 517 |
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