Based on public Medicaid payment data.
Jennifer Eunji Kim
Medicaid Provider in San Jose, CA
Type
Individual Provider
Address
1170 Lockhaven Way
San Jose, CA 951294031
Phone
4088920223
NPI
1790217115
Procedures
2
Total Claims
149
Patients Served
131
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 | $78.72 | 119 | 119 |
| Dental Filling | $54.60 | 30 | 12 |
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