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Based on public Medicaid payment data.

Luana Ji Hee Lim

Medicaid Provider in Rancho Cucamonga, CA

Type

Individual Provider

Address

6331 Haven Ave Ste 12

Rancho Cucamonga, CA 917376942

Phone

9099897222

NPI

1376116673

Procedures

3

Total Claims

4.1K

Patients Served

3.9K

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 $61.07 3,578 3,576
Dental Filling $64.97 339 223
Tooth Extraction $57.07 175 130

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