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Based on public Medicaid payment data.

Jangsook Kim

Medicaid Provider in Valencia, CA

Type

Individual Provider

Address

23501 Cinema Dr. #114

Valencia, CA 91355

Phone

6612533030

NPI

1336275338

Procedures

2

Total Claims

165

Patients Served

140

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 $36.57 111 110
Dental Filling $57.01 54 30

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