Based on public Medicaid payment data.
Nathan Daebhum Kim
Medicaid Provider in Orange, CA
Type
Individual Provider
Address
179 N Tustin St
Orange, CA 928677716
Phone
7142881035
NPI
1245996784
Procedures
2
Total Claims
396
Patients Served
353
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 | $63.77 | 306 | 300 |
| Dental Filling | $53.39 | 90 | 53 |
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