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Based on public Medicaid payment data.

Alisa Kim

Medicaid Provider in Brockport, NY

Type

Individual Provider

Address

300 West Ave

Brockport, NY 144201118

Phone

5856373905

NPI

1053540526

Procedures

1

Total Claims

78

Patients Served

76

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 $37.67 78 76

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