Based on public Medicaid payment data.
Louis M Kim, A Professional Dental Corporation
Medicaid Provider in Sacramento, CA
Type
Organization
Address
1824 Avondale Ave
Sacramento, CA 958251378
Phone
9169008521
NPI
1104336478
Procedures
2
Total Claims
725
Patients Served
686
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 | $0.00 | 711 | 673 |
| Dental Filling | $0.00 | 14 | 13 |
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