Based on public Medicaid payment data.
Hong Ku Kim
Medicaid Provider in Pasadena, CA
Type
Individual Provider
Address
2379 E Colorado Blvd
Pasadena, CA 911074263
Phone
6265847017
NPI
1285650275
Procedures
3
Total Claims
9.4K
Patients Served
8.7K
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 | $55.70 | 8,052 | 8,021 |
| Dental Filling | $66.50 | 1,097 | 560 |
| Tooth Extraction | $118.36 | 231 | 116 |
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