Based on public Medicaid payment data.
Richard Kim
Medicaid Provider in Westminster, CA
Type
Individual Provider
Address
15266 Goldenwest St
Westminster, CA 926836169
Phone
7143793100
NPI
1730742115
Procedures
5
Total Claims
12.8K
Patients Served
11.5K
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 | $66.84 | 8,893 | 8,873 |
| Dental Filling | $69.14 | 1,240 | 695 |
| Tooth Extraction | $116.98 | 1,163 | 675 |
| Dental Crown | $474.36 | 944 | 721 |
| Root Canal | $418.61 | 584 | 494 |
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