Based on public Medicaid payment data.
James S Kim
Medicaid Provider in Riverside, CA
Type
Individual Provider
Address
9939 Magnolia Ave
Riverside, CA 925033528
Phone
5624776929
NPI
1154499291
Procedures
5
Total Claims
14.9K
Patients Served
12.8K
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 | $61.98 | 9,442 | 9,398 |
| Dental Filling | $63.09 | 5,017 | 3,097 |
| Dental Crown | $462.90 | 353 | 290 |
| Tooth Extraction | $119.00 | 52 | 39 |
| Root Canal | $365.40 | 13 | 12 |
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