Based on public Medicaid payment data.
Kwang Seob Kim
Medicaid Provider in Rowland Heights, CA
Type
Individual Provider
Address
18250 Colima Rd
Rowland Heights, CA 917482602
Phone
6269642875
NPI
1003035114
Procedures
5
Total Claims
10.5K
Patients Served
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 | $64.48 | 6,360 | 6,337 |
| Dental Filling | $59.70 | 3,539 | 1,326 |
| Tooth Extraction | $112.22 | 474 | 280 |
| Dental Crown | $474.07 | 123 | 68 |
| Root Canal | $63.00 | 12 | 12 |
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