Based on public Medicaid payment data.
Michele L. Kim
Medicaid Provider in Pico Rivera, CA
Type
Individual Provider
Address
6105 Rosemead Blvd Ste A
Pico Rivera, CA 906603223
Phone
5629499616
NPI
1609925411
Procedures
2
Total Claims
2.4K
Patients Served
2.2K
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 | $47.39 | 1,974 | 1,972 |
| Dental Filling | $61.53 | 386 | 232 |
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