Based on public Medicaid payment data.
Jeong Doo Kim
Medicaid Provider in Riverside, CA
Type
Individual Provider
Address
4000 Tyler St Ste A
Riverside, CA 925033458
Phone
9516874460
NPI
1578778825
Procedures
2
Total Claims
8.4K
Patients Served
4K
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 |
|---|---|---|---|
| Tooth Extraction | $190.05 | 8,281 | 3,833 |
| Dental Cleaning & Exam | $66.51 | 146 | 145 |
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