Based on public Medicaid payment data.
Louis Min Keun Kim
Medicaid Provider in Sacramento, CA
Type
Individual Provider
Address
4730 47Th Ave
Sacramento, CA 958243959
Phone
9163910682
NPI
1992875603
Procedures
5
Total Claims
36.1K
Patients Served
27.7K
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 | $22.01 | 25,778 | 22,521 |
| Dental Filling | $31.25 | 8,708 | 4,509 |
| Tooth Extraction | $26.40 | 1,394 | 558 |
| Dental Crown | $357.06 | 158 | 111 |
| Root Canal | $163.80 | 35 | 26 |
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