Based on public Medicaid payment data.
Michelle Kyongah Kim
Medicaid Provider in Pasadena, CA
Type
Individual Provider
Address
2245 E Colorado Blvd
Pasadena, CA 91107
Phone
6264493367
NPI
1629113857
Procedures
2
Total Claims
891
Patients Served
844
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 | $47.29 | 812 | 802 |
| Dental Filling | $61.88 | 79 | 42 |
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