Based on public Medicaid payment data.
Soung Cheoul Kim
Medicaid Provider in Boston, MA
Type
Individual Provider
Address
99 Kneeled Street Apt 713
Boston, MA 02111
Phone
9292646303
NPI
1063969525
Procedures
4
Total Claims
19.1K
Patients Served
17.1K
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 | $39.18 | 14,382 | 14,085 |
| Dental Filling | $94.73 | 3,463 | 2,242 |
| Tooth Extraction | $101.40 | 942 | 557 |
| Dental Crown | $612.54 | 322 | 184 |
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