Based on public Medicaid payment data.
Luke Kim
Medicaid Provider in Pacific Palisades, CA
Type
Individual Provider
Address
1435 Avenida De Cortez
Pacific Palisades, CA 902722126
Phone
3106009777
NPI
1710029574
Procedures
1
Total Claims
177
Patients Served
176
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 | $58.37 | 177 | 176 |
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