Based on public Medicaid payment data.
Jae Eun Kim
Medicaid Provider in Pico Rivera, CA
Type
Individual Provider
Address
8819 Whittier Blvd Ste 102
Pico Rivera, CA 906602673
Phone
5626991000
NPI
1285287110
Procedures
3
Total Claims
2.4K
Patients Served
2.3K
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 | $55.61 | 2,284 | 2,273 |
| Dental Filling | $67.20 | 46 | 27 |
| Dental Crown | $476.00 | 22 | 13 |
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