Based on public Medicaid payment data.
Richard S Lim
Medicaid Provider in Yucaipa, CA
Type
Individual Provider
Address
11834 Bryant St Ste 102
Yucaipa, CA 923993848
Phone
9090797809
NPI
1962842575
Procedures
4
Total Claims
9.7K
Patients Served
9K
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 | $58.51 | 8,381 | 8,330 |
| Dental Filling | $62.12 | 1,161 | 576 |
| Tooth Extraction | $117.82 | 101 | 48 |
| Dental Crown | $476.00 | 39 | 30 |
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