Based on public Medicaid payment data.
Isaac Im
Medicaid Provider in Victorville, CA
Type
Individual Provider
Address
14285 7Th St
Victorville, CA 923954207
Phone
7603885080
NPI
1235568874
Procedures
4
Total Claims
88.6K
Patients Served
81.7K
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 | $51.53 | 68,660 | 68,401 |
| Dental Filling | $65.14 | 13,377 | 8,364 |
| Tooth Extraction | $57.16 | 4,683 | 3,344 |
| Root Canal | $99.15 | 1,891 | 1,606 |
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