Based on public Medicaid payment data.
Sumin Kang
Medicaid Provider in Riverside, CA
Type
Individual Provider
Address
19040 Van Buren Blvd Ste 111
Riverside, CA 925089160
Phone
9517890200
NPI
1700439668
Procedures
4
Total Claims
34.4K
Patients Served
31.2K
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 | $54.89 | 23,626 | 23,481 |
| Dental Filling | $64.08 | 10,121 | 7,202 |
| Tooth Extraction | $56.50 | 578 | 472 |
| Root Canal | $98.55 | 97 | 82 |
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