Based on public Medicaid payment data.
Jin-Hyuk Kim
Medicaid Provider in Victorville, CA
Type
Individual Provider
Address
14238 Valley Center Dr
Victorville, CA 923954279
Phone
7602435437
NPI
1669524153
Procedures
4
Total Claims
25.9K
Patients Served
23.6K
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 | $53.08 | 19,560 | 19,402 |
| Dental Filling | $63.69 | 4,191 | 2,857 |
| Tooth Extraction | $99.27 | 2,072 | 1,226 |
| Dental Crown | $476.00 | 81 | 68 |
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