Based on public Medicaid payment data.
John Kim
Medicaid Provider in Orange, CA
Type
Individual Provider
Address
530 S Main St
Orange, CA 928684525
Phone
8005793783
NPI
1154649366
Procedures
1
Total Claims
118
Patients Served
36
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 |
|---|---|---|---|
| Tooth Extraction | $219.61 | 118 | 36 |
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