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Based on public Medicaid payment data.

Hyung Kim

Medicaid Provider in Ontario, CA

Type

Individual Provider

Address

452 N Mountain Ave

Ontario, CA 917622540

Phone

9097572025

NPI

1285199125

Procedures

3

Total Claims

3.9K

Patients Served

3.1K

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 Cleaning & Exam $53.75 2,485 2,467
Dental Filling $58.10 1,429 632
Dental Crown $476.00 32 24

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