Based on public Medicaid payment data.
Jeffrey J Kim
Medicaid Provider in San Bernardino, CA
Type
Individual Provider
Address
784 North D Street
San Bernardino, CA 92401
Phone
9098844733
NPI
1851550248
Procedures
7
Total Claims
14.1K
Patients Served
11.6K
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 | $58.55 | 8,081 | 8,044 |
| Dental Filling | $64.66 | 3,753 | 1,993 |
| Tooth Extraction | $117.03 | 1,449 | 849 |
| Office Visit | $29.20 | 615 | 601 |
| Vaccines & Immunizations | $10.57 | 96 | 96 |
| Urinalysis & Urine Tests | $1.94 | 34 | 34 |
| Dental Crown | $476.00 | 33 | 27 |
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