Based on public Medicaid payment data.
Shawn J Kim
Medicaid Provider in Arlington, VA
Type
Individual Provider
Address
2550 S Clark St Ste 100A
Arlington, VA 222023962
Phone
7032238728
NPI
1568080414
Procedures
4
Total Claims
1.3K
Patients Served
1.1K
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 | $53.73 | 779 | 723 |
| Dental Crown | $468.57 | 335 | 225 |
| Dental Filling | $118.83 | 203 | 101 |
| Tooth Extraction | $141.28 | 17 | 12 |
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