Based on public Medicaid payment data.
Jae Kwon Bok
Medicaid Provider in Annandale, VA
Type
Individual Provider
Address
7535 Little River Tpke
Annandale, VA 220032937
Phone
7033363818
NPI
1487756441
Procedures
2
Total Claims
2K
Patients Served
1.8K
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 | $28.06 | 1,594 | 1,594 |
| Dental Filling | $78.65 | 413 | 207 |
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