Based on public Medicaid payment data.
Han You Kim
Medicaid Provider in San Bernardino, CA
Type
Individual Provider
Address
164 W Hospitality Ln Ste 127
San Bernardino, CA 924083316
Phone
9094536600
NPI
1013432632
Procedures
5
Total Claims
19K
Patients Served
16.2K
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 | $65.10 | 12,843 | 12,834 |
| Tooth Extraction | $106.44 | 3,123 | 1,650 |
| Dental Filling | $66.00 | 2,814 | 1,571 |
| Dental Crown | $476.00 | 192 | 155 |
| Root Canal | $419.47 | 29 | 25 |
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