Based on public Medicaid payment data.
Pauline S Lim
Medicaid Provider in Pinole, CA
Type
Individual Provider
Address
2000 Appian Way Ste 101
Pinole, CA 94564
Phone
5107248555
NPI
1184850687
Procedures
2
Total Claims
57.1K
Patients Served
57K
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 | $56.00 | 57,109 | 56,941 |
| Tooth Extraction | $57.40 | 21 | 15 |
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